Traction Handbook

Transcription

Traction Handbook

Zimmer
Traction Handbook
A Complete Reference Guide to the Basics of Traction
The Traction Handbook
Acknowledgments:
Preface
We would like to acknowledge grateful appreciation to those
who contributed their time and expertise in the development
of the ninth editon of The Zimmer Traction Handbook:
The principal aim of this book is to present a thorough yet easily
understandable explanation of basic traction systems. Through
its numerous illustrations and simplified language, this book
makes it possible for the trained orderly or orthopaedic
technician to bring to the patient’s bedside all the necessary
components for applying several basic types of traction.
Moreover, it serves as a source of continuing education,
and as a reference for experienced orthopaedic personnel.
Thomas Byrne, OPAC, OTC
University of California
San Diego Medical Center
San Diego, California
It is not the intention of this book to present a detailed
discussion on nursing care for the traction patient. To do so
within the confines of this book would risk over-simplification
of the many important physical as well as psychological
problems often associated with this type of patient. Moreover,
much literature is readily available on such subjects. At the end
of this book, a special bibliography listing various nursing care
publications is offered for those seeking additional information,
or a more comprehensive understanding of these problems.
One important note: as you read through this book, keep in
mind that the attending physician combines a highly specialized
education with years of experience and thorough knowledge of
each patient’s medical history. It is the physician who prescribes
all traction setups as well as any changes. His/Her instructions
should be followed explicitly.
Finally, this Traction Handbook is only part of a long-standing
Zimmer commitment to provide extensive educational programs
for hospital personnel entrusted with the care of orthopaedic
patients. Zimmer also has an extensive educational video series
which covers the basics of traction including nursing care. This
video series is available through your Zimmer representative.
He or she is available to assist in replacing damaged or
missing parts and to offer helpful suggestions on improving
traction setups.
For additional traction information or literature, contact
Zimmer Customer Service:
2
800-348-2759
Table of Contents
General Information on Traction and
Balanced Suspension. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Types of Traction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Application of Traction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Principles of Traction (Nursing Care). . . . . . . . . . . . . . . . . . . .
Basic Traction Frame Types . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hill-Rom® TotalCare® Traction Frame . . . . . . . . . . . . . . . . . . .
Frame Measurements for Beds
Not Listed in this Handbook . . . . . . . . . . . . . . . . . . . . . . .
Bryant’s Traction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cervical Traction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Traction on Humerus-Overhead (90-90). . . . . . . . . . . . . . . . .
Pelvic Traction with Pelvic Belt . . . . . . . . . . . . . . . . . . . . . . . .
Buck’s Unilateral Leg Traction. . . . . . . . . . . . . . . . . . . . . . . . .
Unilateral Leg Traction Using
Böhler-Braun Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Russell’s Traction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Split Russell’s Traction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balanced Suspension & Traction with
Thomas or Brady Leg Splint
(Utilizing Skin Traction). . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balanced Suspension & Traction with
Thomas or Brady Leg Splint
(Utilizing Skeletal Traction) . . . . . . . . . . . . . . . . . . . . . . . .
Patient Exercises. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Applying Skin-Trac ® Traction Strips . . . . . . . . . . . . . . . . . . . .
Universal Brady Balanced Suspension System . . . . . . . . . . .
Radiolucent Thomas Leg Splint. . . . . . . . . . . . . . . . . . . . . . . .
Assembly Components for Radiolucent
Thomas Leg Splint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thomas Leg Splint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Full-Length Sling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pearson Attachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foot Support and Heel Rest. . . . . . . . . . . . . . . . . . . . . . . . . . .
Böhler-Braun Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DiCosola Rope Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Stephan Spreader Bar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimmer Spreader Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimmer Spreader Bars. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Zimmer Serrated Clip. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zim-Clip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mini-Clip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimcode ® Traction Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nylon Traction Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cast Iron Traction Weights. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weight Carriers For Cast Iron Weights. . . . . . . . . . . . . . . . . . .
Sand Weight Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimcode Traction Weight Bags . . . . . . . . . . . . . . . . . . . . . . . .
Skin-Trac Traction Strips . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Flex-Foam® Traction Strips . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nelson Finger Exerciser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimcode Footrest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimcode Footrest (with Bed Attachment) . . . . . . . . . . . . . . . .
Böhler Steinmann Pin Holder . . . . . . . . . . . . . . . . . . . . . . . . .
Kirschner Wire Tractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Traction Finger Apparatus . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Patient Helpers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimmer Mobile Traction Extra Long. . . . . . . . . . . . . . . . . . . . .
Zimmer Mobile Traction Unit-Compact . . . . . . . . . . . . . . . . . .
Traction Cart Hook Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimmer Premium and
Standard Orthopaedic Wraps . . . . . . . . . . . . . . . . . . . . . .
Traction Softgoods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zimcode Traction Components . . . . . . . . . . . . . . . . . . . . . . . .
Traction Frames for Specific Bed Models . . . . . . . . . . . . . . . .
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Traction Component Warranty. . . . . . . . . . . . . . . . . . . . . . . . .
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3
Traction and Balanced Suspension
Purpose
Anatomical Considerations
The purpose of any traction setup is one or more of
the following:
1. To prevent or reduce muscle spasm.
2. To immobilize a joint or part of the body.
3. To reduce a fracture or dislocation.
4. To treat joint pathology(s).
Traction is the application of a pulling force to a part of the body.
But to fully understand this definition, a few basic anatomical
facts about the human body must be considered.
It is important for the nurse/technician to know the patient’s
diagnosis so that an evaluation of the purpose and
effectiveness of the apparatus can be made and, therefore,
maintain the traction in such a way that its purpose is
accomplished. To achieve these purposes, the traction setup
must:
1. Align the distal fragment to the proximal fragment.
2. Remain constant.
3. Allow for adequate exercise and diversion.
4. Allow for optimum nursing care.
Traction and suspension setups are arrangements of bars,
pulleys, ropes, and weights which exert a pulling force on
a part or parts of the body, or serve to suspend or “float” a
part of the body-most frequently a limb. The terms traction
and / or suspension are often confused and, therefore, used
incorrectly or interchangeably. Many traction setups also include
suspension; therefore, it is important for the nurse/technician
to carefully study a particular setup to determine whether it is a
traction, a suspension, or a combination of the two.
The skeletal system, which supports the body, is composed of
over 200 bones and is held in place by ligaments and muscles.
These skeletal muscles act as “movers” of bones. A muscle
group usually originates on one bone and terminates (inserts)
on another. Skeletal muscles have a tendon at each end which
attaches like a strip of adhesive tape to the bone. When the
brain signals a muscle to shorten (contract), the tendons at
each end are pulled toward the center (belly) of the muscle. This
exerts a force on the bones at each end of the muscle, and the
bony part with the least resistance moves. Skeletal muscles have
tone, which could be described as a state of readiness. Tone is
continually producing a certain amount of pull on the tendons.
Figure 1 illustrates a broken femur. Notice the muscle groups
have pulled the broken parts out of alignment. Proper traction
and suspension will help restore position. The pull of the muscle
group is overcome by a new force (traction) created with weights
and pulleys. Weights provide a constant (isotonic) force; pulleys
help establish and maintain constant direction. The forces thus
applied must remain constant in amount and direction until the
fracture fragments unite.
Figure 2 illustrates the same femur after traction has been
applied to realign (approximate) the broken parts.
During an extensive period of healing, the limb must be
supported to assist in maintaining fragment alignment, but the
patient should still be able to move about as much as possible
until union is achieved. This is why a second system of weights
and pulleys called “balanced suspension” is often used.
Balanced suspension permits the limb to “float” over the bed,
and facilitates bed pan use and changing of bed linen with
minimal disturbance of the fracture.
4
With the traction arrangements, countertraction is a
consideration. Countertraction, which is the resistance of the
body to move in the direction of the forces exerted by a traction
device, is a factor which is built into each setup by utilizing the
patient’s body weight. When necessary, the countertraction of
the patient’s body weight may be increased by elevation of the
foot of the bed or using blanket rolls, sand bags, etc.
Figure 1
Figure 2
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Types of Traction
THREE BASIC TYPES:
1. Manual Traction
2. Skin Traction
3. Skeletal Traction
Each has its own special function in the management of
fractures depending on physician preference, the type of
fracture and, in some cases, the patient himself.
Manual Traction
In manual traction, the hands are used to exert a pulling force on
the bone which is to be realigned. Generally, this type of traction
is reserved only for very stable fractures or dislocations prior to
splinting or immobilization in a cast. It also may be used prior to
the application of skin or skeletal traction or surgical reduction.
Skin Traction
In skin traction, strips of tape, mole-skin, or some other type of
commercial skin traction strips such as Skin-Trac Traction Strips
are applied directly to the skin. Traction boots for leg traction
and pelvic belts for spinal disorders also can be classified under
this category.
The prime indication for skin traction is the treatment of
children’s fractures and adult fractures or dislocations that
require only a moderate amount of pulling force for a relatively
short period. Certain types of children’s fractures heal in a
comparatively short time and do not require extremely
heavy tractive forces to maintain bone alignment. Hence,
the child’s skin is more able to tolerate this type of traction
than the adult’s.
6
For adults, skin traction is often used as a temporary measure
prior to more definitive treatment such as open reduction or
skeletal traction. Because of the possibility of severe skin
irritation, skin traction should not be used on fractures which
require more than 5 to 7lbs. (2.7 to 3.2kg) of longitudinal force.
It is also not recommended for continuous traction which is
expected to exceed three to four weeks. Finally, skin traction
is not recommended when controlling limb rotation is of
major importance.
Skeletal Traction
Skeletal traction applies the tractive force directly to the bone
using pins, wires, screws and, in the case of cervical traction,
using tongs or halos applied directly to the skull. Skeletal
traction allows the use of up to 20 or 30lbs. (9 or 14kg) of force
for as long as three to four months, if necessary. Moreover, it not
only exerts a longitudinal pull, but also controls rotation.
Skeletal traction is particularly advantageous for unstable or
fragmented fractures and those in which muscle forces must be
overcome to maintain fracture alignment, e.g., fractures of the
femoral shaft.
Manual Traction
Skin Traction
Skeletal Traction
7
For serious cervical spine fractures or injuries, Crutchfield or
Vinke cervical tongs are inserted directly into the skull and
attached to the traction system. This stabilizes the vertebrae and
reduces the chances of spinal cord damage or further injury.
For some fractures of the pelvis, a special pelvic traction
screw is inserted into the ilium and connected to the traction
system at the appropriate angle for maintaining fracture
alignment.
For long bone fractures, skeletal traction requires the use
of Steinmann Pins or Kirschner Wires. The basic difference
between the two is their diameter. Steinmann Pins have a larger
diameter, generally from 5/64in. to 3/I6in. (2.0mm to 4.8mm).
Kirschner Wires generally range from .028in. to 0.62in. (.7mm to
15mm) in diameter. Both pins also come in a variety of lengths
and point styles. These choices are generally based on physician
preference, the density of bone through which the pin or wire is
to be inserted, and the forces to be applied.
Once inserted, the Steinmann Pin or Kirschner Wire is
connected to its respective holder. The holder is then
connected to the traction force. It must be emphasized
that Steinmann Pins are not compatible with the Kirschner
Wire Tractor and vice versa. The Kirschner Wire Tractor and
the Steinmann Pin Holder are designed for use only with their
respective pins.
In addition to the previous classifications, traction also can be
divided into two other categories based on the direction of force.
Generally, any loss is negligible, and therefore, for each pound
of weight applied, 1 pound of force is delivered.
The second of these categories is the block and tackle or
suspension type of traction. This is shown in the Russell’s
Traction illustration. In this type of traction the traction system
is attached to the patient in two or more places and also to one
or more other stationary points on the traction frame. Each time
the traction force is attached from the patient to the frame and
back to the patient, directional lines of pull, or vectors of force,
are being applied.
Cervical Tongs
Pelvic Traction Screw
Kirschner Wires
Kirschner Wire Tractor
Steinmann Pins
Steinmann Pin Holder
The first of these, Straight-Line Traction, is best exemplified by
Buck’s Traction. Here the traction is affixed to the limb at one
point and then, using one or more pulleys, is attached to the
weight. This causes the force to be applied in only one direction.
Any change in the amount of applied force is the result of loss
through friction caused by bedclothes, turning of pulleys, etc.
8
With the vectors of force principle, it is important to remember
that the actual horizontal pulling force on the extremity is double
the amount of applied weight.
Buck’s Traction
For example, the vectors of force illustration shows two pulling
forces (A & B) on the footplate. Each has a pulling force of five
pounds. These two forces combine to produce what is known as
the resultant force (R), or as in this case, 10 pounds. The vertical
pull on the knee sling (C) remains at 5 pounds and serves only to
suspend the knee off the bed.
A variation to Russell’s Traction is Hamilton-Russell’s Traction.
This setup accomplishes the same goal as Russell’s Traction,
except it uses skeletal methods.
Vectors of Force Principle
A Steinmann Pin is inserted through the proximal tibia. Two
Böhler Steinmann Pin Holders are then applied as shown in the
illustration. One pin holder (with a pulley) applies the traction
force, while the second holder provides lift to the knee.
The traction rope is tied to the vertical pin holder, extended up
through a pulley on the overhead bar, then through a pulley at
the foot of the bed. The rope is then brought back through the
pulley on the second pin holder, through another pulley at the
foot of the bed, and then attached to the weight system.
Hamilton-Russell’s Traction
As with regular Russell’s Traction, the vectors of force principle
is applied. The horizontal traction force is twice the amount of
weight applied, while the lift is equal to the actual weight.
Russell’s Traction (Suspension Type)
9
Applications of Traction
GENERAL TIPS AND PRECAUTIONS
Before you begin applying traction, remember:
1. Skin traction cannot be applied over an open wound.
2. Skin traction may be contraindicated in patients with
abrasions, lacerations or superficial infections in the
immediate area. This also includes patients with varicose veins
or circulatory disturbances. It also may be unsafe for diabetics
or patients with very thin skin. When possible, be sure there
has been a thorough admission history taken on the patient.
This is especially important in cases where the doctor has not
yet had the opportunity to do a complete examination.
3. Check with patient for possible adhesive allergies.
4. Do not reuse traction cord. It does become worn and may
eventually break. It also can become contaminated by bacteria.
After the above procedures have been completed:
1. Before threading traction cord, lubricate all pulleys with
silicone spray or a small amount of mineral oil.
CAUTION: Never lubricate pulleys when traction is completely set
up unless the attending physician is present to readjust
the amount of weight. Lubrication changes the friction
which in turn, alters the balancing forces.
2. To help prevent pressure sores, a concentrated effort should be
directed at avoiding pressure in the following locations:
Upper Extremities
a. Bony prominences about the elbow.
b. Anterior soft tissues of the elbow joint.
c. Bony prominences about the wrist.
d. Volar (palm side) surface at the wrist.
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Lower Extremities
a. Peroneal nerves at the neck of the fibula.
b. Hamstring tendons at the back of the knee.
c. Bony prominences about the ankle.
d. Back of the heels.
e. Soft tissues at the front of the ankle and top
of the foot.
f. Greater trochanters (outer area of upper thighs).
Trunk
a. Prominences of the spine.
b. Borders of the scapulae (shoulder blades).
c. Crest of the ilium (upper edges of pelvic blades).
d. Sacral areas (tail bone).
Pressure on the elbow joints, wrists, knees, and heels may
be minimized by a generous wrapping of wide sheet wadding
in order to distribute the weight of a limb over a wide area.
Elevation of the ankle may be necessary to lift the tip of the
heel away from the bed. Preventing a pressure sore is easier
than curing one.
3. Weights
a. Never add or remove weights without specific orders from
the attending physician.
b. Never allow weights to touch the floor, drag on bed parts
or touch other weight systems. These conditions can reduce
the applied force and cause the traction apparatus not to
perform as intended. Keep all weights hanging free.
c. Do not allow traction weights to hang over any part of the
patient. Traction cord does occasionally slip or break so it
is important not to allow the traction weight to strike and
injure the patient. If necessary, on some older types of
apparatus, add an extra bar and pulley to get the weight
in a free hanging position away from the patient.
d. Although the photos in this handbook show the traction
weights off the foot of the bed, some hospitals and
physicians may require them to come off at the head of the
bed. Both methods are acceptable, however, the reasoning
behind each differs.
From Foot End:
a. Weights are out of patient’s reach.
b. They are readily visible for inspection.
c. With shock blocks under the head of the bed, weights
hang freely with less equipment.
6. If the patient must be moved while in traction, the attending
physician or authorized healthcare provider who set up
the traction must be present. Failure to readjust traction to
the same precise configuration after transport can result in
misalignment with serious consequences.
7. All traction equipment must be cleaned with some type of a
liquid sterilizing solution (ex. 10% bleach solution etc.) after
each patient use.
From Head of Bed:
a. Weights are away from visitor’s reach.
b. They are less subject to bumping by attending personnel.
c. Less equipment is required if shock blocks are under foot
of bed.
4. Never apply pillows, sandbags, ice bags, hot water bottles,
surgical dressings, cotton, sponge rubber, towels, felt, or any
other type of pad to a patient in traction unless specifically
ordered by the attending physician.
5. A routine should be established and followed to check each
traction setup in detail. In addition, all nursing personnel
coming into the patient’s room should, out of habit, make
a quick visual inspection of the equipment. This inspection
should begin with the weights and follow along each rope to
the patient to be sure that:
a. Weights are hanging free.
b. Ropes are in the pulleys, foot-plates and spreader blocks.
c. Knots are free from pulleys.
d. Bed linens, etc., are not interfering with the traction forces.
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Principles of Traction
RELATIONSHIP TO NURSING CARE
A great deal of the nursing care (and a good deal of equipment
maintenance) related to the patient in any traction application
is based upon certain fundamental principles. It is, therefore,
imperative that the nurse/technician be constantly alert for the
following:
1. POSITION
The patient should be in the supine position (on his/her back).
Proper position includes keeping the entire body in good
alignment. Also, either a solid bottom bed or bed boards must
be used for all orthopaedic patients.
2. COUNTERTRACTION
For any traction to be effective, there must be countertraction.
If the force of pull of the traction is greater than the
countertraction supplied by the body weight, the patient will
slide towards the traction force, or his traction splint may
impinge on the traction pulley. Should this happen, additional
countertraction may be obtained by tilting the bed away from
the traction force. Traction and countertraction represent
forces in balance; for this reason the patient
should not have his back raised more than 20 degrees,
or be allowed to sit up.
3. FRICTION
Any type of friction will reduce the efficiency of traction and
hinder the pull. Implications for nursing care include checking
to see that:
a. The spreader or footplate is not touching the end of the
bed.
b. The weights are positioned at a reasonable level from the
floor; a considerable distance below the pulley; hanging
free of the bed; and away from the patient.
c. All knots are clear of the pulleys.
d. There is no impingement on the traction cord from bed
clothes or any other apparatus.
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e. The patient’s heels are not digging into the mattress.
If any of these conditions are not being met, immediate
corrective action is indicated.
4. CONTINUOUS
In general, for traction to be effective, it should be continuous.
NEVER remove it without a doctor’s order. Furthermore, check
frequently to make sure tapes are not slipping, that pulleys
are working properly and that the components of the traction
apparatus are correctly and tightly assembled.
5. LINE OF PULL
Once established correctly, the line of pull should be
maintained.
6. PROTECTION OF THE CARDIOVASCULAR SYSTEM
Immobilized patients are at risk for venous thrombosis
and/or pulmonary embolus. The nursing goals are to monitor
orthostatic tolerance and prevent venous stasis. Interventions
to prevent venous stasis include:
a. Instructing the patient in hourly ankle rotation, flexion
and extension exercises.
b. Avoiding or minimizing positioning that causes external
pressure on venous walls such as knee gatching or
crossing legs.
c. Using, on physician order, anti-embolism stockings or
pneumatic sleeves.
7. MAINTENANCE OF NEUROVASCULAR STATUS
Neurovascular compromise may be avoided by using the
following interventions: regularly assessing neurovascular
status with particular attention to traction apparatus and
pressure areas; changing the patient’s position within the
limitations of the traction every two to four hours; reporting
any signs and symptoms of neurovascular compromise to the
attending physician.
8. SKIN CARE
Static positioning in traction can cause pressure that impairs
capillary flow to the skin, resulting in tissue necrosis and
pressure sores. Skin integrity can be maintained by:
a. Assessing skin integrity over bony prominences and any
areas of the body which are covered by or attached to
traction apparatus.
b. Massaging potential pressure areas every two to
four hours.
c. Using pressure relief devices or pressure relief beds.
If skin breakdown occurs, massage should be
discontinued to prevent further tissue damage. The
adhesive straps used in skin traction heighten the risks
to the skin and should be selected, applied, and
monitored very carefully.
9. MAINTENANCE OF THE MUSCULOSKELETAL SYSTEM
Immobility decreases muscle strength, impairs skeletal
strength, and limits joint mobility. These problems can be
minimized by:
a. Having the patient perform regular isometric and/or
isotonic exercises of uninvolved extremities and the
involved extremities as prescribed by a physician.
b. Periodically positioning the patient in the fully
extended position.
c. Allowing the patient to perform as many daily activities
as possible.
If the patient will use crutches after the traction is
discontinued, he/she should strengthen his/her
quadriceps by:
a. Pulling his/her toes toward his/her nose while pushing
his/her knee into the bed.
b. Sitting up in bed and pushing his/her palms against
the bed to raise his/her buttocks off the bed.
Directions for setting up the upper and lower extremity
exercises appear on page 44-47.
Up
and
Over
Down
and
Over
Up
and
Through
HOW TO TIE A TRACTION KNOT
To save time, follow this simple phrase: up and over,
down and over, up and through. Practice a few times with
a traction cord and this illustration.
Once you have tied the traction cord, allow about 4in.
(10cm) at the end. This extra length of cord allows you to
adjust the knot later without replacing the cord. Secure
all knot ends tightly with adhesive tape.
10.NEVER IGNORE A PATIENT’S COMPLAINT
This rule should be followed above everything else.
Check it out.
11. TRACTION SYSTEMS CAN VARY
While it is essential for those caring for traction patients
to know the correct application of traction, the nurse in
charge must remember that doctors may vary their
traction methods for specific reasons. The nurse should,
therefore, inform all floor personnel concerning any
modifications to a particular traction setup instituted
by a physician.
Sometimes it may be helpful to take a photo of the setup.
This will show nursing personnel on all shifts how the
traction setup should be maintained.
13
Basic Traction Frame Types
Every traction system begins with a basic traction frame.
Essentially, the basic frame is the foundation around which
the complete system is built. For a listing of traction frames
for specific bed models, see page 82.
Zimcode Buck’s Extension
For cervical and pelvic traction.
• Adjusts vertically and horizontally.
• Components color coded to simplify setup.
• Vinyl coated arms protect bed.
Prod. No.
Components
Dimensions
Qty.
00-0619-000-00
Complete System
00-0640-006-00
Single Clamp Bar
27in. (69cm)
1
00-0619-001-00
Swivel Clamp Bar w/Pulley
9in. (23cm)
1
00-0619-002-00
Double Pulley Bar
18in. (46cm)
1
00-0619-003-00
Panel Clamp-Buck’s
1
Child’s Crib
• Used for fractures of the femur in children under two years
old or weighing less than 30lbs. (14kg).
• Provides stabilization of the hip joint where use of cast is
not indicated.
• Bilateral traction helps prevent rotation and facilitates
stabilization of the patient.
14
Prod. No.
Components
Dimensions
Qty.
00-0640-002-00
Swivel Clamp Bar
66in. (168cm)
1
00-0640-013-00
Panel Clamp-Upper
1
00-0640-014-00
Panel Clamp-Lower
1
00-0640-011-00
Center Clamp Bar
36in. (91cm)
2
00-0640-004-00
Single Clamp Bar
9in. (23cm)
1
00-0640-006-00
Single Clamp Bar
27in. (69cm)
1
00-0640-008-00
Pulley
4
Straight Frame
Basic frame setup for beds with I.V. Sockets. See page 82 on
components for individual bed models.
Single frame will hold a patient weight of up to 250lbs.
(113.4kg) as long as the Curved Double Clamp Bar
(00-0640-021-00) is utilized. Without the Curved Double
Clamp Bar, the weight limit is 200lbs.
Offset Frame
Basic frame setup with an additional feature of an offset upright
bar at the head to allow clearance for a wall light fixture. See
page 84 on components for individual bed models.
(00-0640-021-00) is utilized. Without the Curved Double
Clamp Bar, the weight limit is 200lbs.
15
Four-Poster (Balkan) Frame
Designed for special traction setups and also to accommodate
increased weight bearing by patients weighing between 250 and
450lbs. (113-204kg) as long as the Curved Double Clamp Bar
(00-0640-021-00) is utilized. See page 86 on components for
individual bed models. Without Curved Double Clamp Bars, the
weight limit is 350lbs.
Telescoping Overhead Bar
Designed for retractable beds, but may also be used
on non-retractable beds. When using this bar, the short
octagonal section should be at the head of the bed.
Never attach the trapeze to the round inner rod upon
which the telescoping section travels. See page 82 on
components for individual bed models.
(00-0640-021-00) is utilized. Without Curved Double Clamp Bar,
the weight limit is 200lbs.
Smooth-Trac® Overhead Traction Bar
Designed for retractable beds, but may also be used on
non-retractable beds. See page 82 on components for
individual bed models.
Single frame will hold a patient weight of up to 250lbs. (113.4kg)
as long as the Curved Double Clamp Bar (00-0640-021-00)
is utilized. Without Curved Double Clamp Bar, the weight limit
is 200lbs.
16
Metal Bed Frame
• Basic frame designed for beds without I.V. Sockets.
• May be used with offset or straight frames.
(00-0640-021-00) is utilized.
STRAIGHT FRAME
Prod. No.
Components
Dimensions
Qty.
00-0640-001-00
Plain Bar
96in. (244cm)
1
00-0640-002-00
Swivel Clamp Bar
66in. (168cm)
2
00-0640-013-00
Panel Clamp-Upper
2
00-0640-014-00
Panel Clamp-Lower
2
OFFSET FRAME
Prod. No.
Components
Dimensions
Qty.
00-0640-023-00
Plain Bar
85in. (216cm)
1
00-0640-024-00
Offset Swivel Clamp Bar
66in. (168cm)
1
00-0640-002-00
Swivel Clamp Bar
66in. (168cm)
1
00-0640-013-00
Panel Clamp-Upper
2
00-0640-014-00
Panel Clamp-Lower
2
17
Hill-Rom TotalCare * Traction Frame
®
®
(Zimmer Prod. No. 00-27OO-O2O-00)
DESCRIPTION
CAUTIONS
Components used to apply basic types of traction for a patient
using the Hill-Rom TotalCare Bed System.
1. A full fracture frame is not to be used on the TotalCare
bed without the use of the I.V. Post Adapter Brackets.
2. Begin by placing the four 61in. (155cm) upright posts into
the holes in the adapter brackets, and assemble the frame
as shown in the drawing to the right.
3. When mounting Buck’s Traction, the knee controls on the
bed should be locked out. Refer to the TotalCare bed
documentation for instructions.
4. When mounting Cervical Traction, the head and knee on the
bed should be locked out. Refer to the bed documentation
for instructions.
5. To avoid injury, the bed should not be operated until all
persons are clear of mechanisms and the I.V. Post
Adapter Brackets.
6. Do not use the fracture frame to push, pull or steer the bed.
Use the transport handles, the foot prop or the siderails so
as not to accidentally weaken or destabilize the frame.
7. Do not exceed the safe working load of the TotalCare Bed
System. Refer to the TotalCare bed documentation on
specifications.
8. Before activating any of the bed controls, make sure the
traction frame will remain clear of other structures or
equipment during movement.
INDICATIONS
The purpose of this traction setup is one or more of
the following:
1. Prevent or reduce muscle spasm.
2. Immobilize a joint or part of the body.
3. Reduce a fracture or dislocation.
4. Treat joint pathology(s).
Claims made regarding weight limitations and/or warning during
operation/use are done so with regard to the use of Zimmer
components only. These warnings are void if components other
than Zimmer are used.
GENERAL TIPS ON FRAME ASSEMBLY
1. Adjust the bed to its lowest position. Refer to the TotalCare
documentation for instructions.
2. When attaching horizontal bars, position the clamp so that the
knob is on top. This will help prevent complete detachment of
the clamp should the knob become loose.
3. For maximum frame stability, install the curved double clamp
bar at the foot of the bed as shown.
4. The flat surface of the bar must be facing upward on all
horizontal bars and facing to the side on upright / vertical
bars.
5. “Load” the fracture frame by securing the horizontal plain bar
within the vertical posts. Close the cross clamp on one end of
the plain bar and fully tighten. Grasp the opposite vertical post
and exert a longitudinal pull. Tighten the second cross clamp
on the plain bar.
NOTE: There are several different types of basic frames based
on the type of traction being applied and the bed model.
Follow the guidelines for the type of traction
being applied.
18
*
Hill-Rom and TotalCare are trademarks of Hillenbrand Industries.
INSTALLATION OF I.V. POST
ADAPTER BRACKETS
Prod. No.
Components
Dimensions
Qty.
00-2700-020-00
Traction Frame for TotalCare Bed (Complete)
1
00-1042-004-00
Cross Clamp
6
00-2700-040-00
Plain Bar
40in. (101cm)
3
00-0640-023-00
Overhead Bar
85in. (216cm)
2
00-2700-021-00
Vertical Post
61in. (155cm)
4
00-0640-021-00
Curved Double Clamp Bar
2
00-0640-067-00
Trapeze
1
00-2700-022-00
I.V. Post Adapters (Head end of bed)
2
00-2700-023-00
I.V. Post Adapters (Foot end of bed)
2
• The mount holes for I.V. Post Adapter Brackets are located
on the weigh frame, under the head section and the thigh
section of the TotalCare bed.
• Raise the head section and thigh section approximately
20 degrees.
• Remove the two mounting bolts and nuts from the
bracket.
• The head brackets are smaller than the foot brackets, do
not interchange. (See photo of installed brackets at left.)
• The left and right brackets are identical and can be
mounted on either side.
• Align the bracket so that the I.V. hole will be toward the
outside of the bed. Slide the mounting plates of the
bracket over the tube of the weigh frame.
• Align the holes of the adapter mount plate with the holes
in the weigh frame.
• Insert the bolts from the top of the weigh frame and
tighten the locking nut securely on the bottom of the
weigh frame using a 1/2in. (13mm) wrench.
• Repeat procedure at all four corners of the bed.
• The fracture frame can now be assembled.
19
BÖHLER-BRAUN FRAME
Used with Böhler-Braun Leg Traction. See page 34 for specific
setup details.
Zimmer Prod. No. 00-0112-002-00
Canvas Sling 00-0113-002-00
WILSON CONVEX FRAME
Used in intervertebral disc surgery to reduce venous back
pressure, facilitate patient breathing and properly flex spine for
more efficient access to disc.
Zimmer Prod. No. 00-0551-000-00
COMPONENT PARTS
Prod. No.
Description
00-0551-052-00
End Pad
00-0551-053-00
Side Bar
00-0551-087-00
Threaded Bar
00-0551-088-00
Threaded Block-Right
00-0551-188-00
Threaded Block-Left
20
Frame Measurements for Beds Not
Listed in this Handbook
HOW TO MEASURE
To determine the correct frame for a bed not listed at the back of
this catalog, the following measurements must be taken at both
the head and foot ends of the hospital bed:
A. Measure the distance, center-to-center, of the I.V. Sockets.
B. Measure the inner diameter (I.D.) of the I.V. Sockets.
C. Measure the inside depth of the I.V. Sockets. (Down as far as
any obstructions or stops, which would prevent the I.V. Post
from further insertion down into the socket cavity.)
D. Measure the height from the floor to the top of the I.V. Sockets
with the bed in the lowest position.
E. Measure the distance from the top of the I.V. Sockets to the top
of the headboard and footboard panels.
F. Measure the height from the top of the mattress to the top of
the I.V. Sockets.
G. Measure, center-to-center, the distance between the I.V.
Sockets at the head and foot of the bed.
Ordering the correct I.V. Post for your bed is critical for your
satisfaction with the traction frame. Accurate measurement
of (A) through (G) is essential to obtaining the correct I.V. Post.
Therefore, please measure carefully.
It is suggested that, if at all possible, the Zimmer representative
be consulted to verify the correct bed frame once all necessary
measurements have been obtained. He or she can provide all
required Zimcode components if not currently available in the
traction supply area of the hospital.
Head
_______
_______
_______
_______
Foot
A
B
C
D
_______
_______
_______
_______
Center-to-center of I.V. Sockets
Inner diameter of I.V. Sockets
Inside depth of I.V. Sockets
Height from floor to top of I.V. Sockets
with bed in lowest position
_______ E _______ Top of I.V. Socket to top panel
_______ F _______ Top of mattress to top of I.V. Sockets
_______ G _______ Distance from head I.V. Socket to foot
I.V. Socket
21
22
Types of Traction
GENERAL TIPS ON FRAME ASSEMBLY
1. When attaching horizontal bars, position the cross clamp
on the top bar so that the one KNOB is on top. This will
prevent complete detachment of the clamp should the
knob become loose.
2. For maximum frame stability, the swivel end of the double
clamp bar must be located at the top.
3. The horizontal plain bars at both ends of the bed should
be “loaded” to ensure the stability of the overall frame.
(See illustration.)
4. The flat surface must be on top on all horizontal bars for
maximum stability. On upright bars, the flat surface must
be on the side.
5. On manual beds, modification of the frame assembly may be
necessary to allow crank movement.
LOADING THE FRAME
To “load” the overall traction frame, secure the horizontal plain
bar within one of the two I.V. posts by closing the one post clamp
around the bar, and fully tighten. Close the second I.V. post
clamp around the bar, but do not fully tighten. Grasp the plain
bar and exert a longitudinal pull. While holding the pull, tighten
the second I.V. post clamp completely.
BEFORE PROCEEDING
The next section explains the various procedures for setting up
several basic traction systems. As you look through this section,
remember that there are many ways in which these systems
can be modified, depending on physician preference, hospital
procedure, the relative conditions of the patient and so forth. If
a particular setup in your hospital does not look similar to those
in the following illustrations, do not assume it is wrong. Always
check with the physician or head orthopaedic nurse before
making any modifications.
23
Bryant’s Traction
INDICATIONS
1. Fractures of the femur in children up to two years old or
weighing less than 30 lbs. (14kg).
2. Stabilization of the hip joint where use of the cast is not
indicated.
GENERAL INFORMATION
1. Traction is bilateral (even if pathology is unilateral) to help
prevent rotation and to facilitate better stabilization of the
patient, thereby maintaining better control.
4. Problems with this type of traction are difficult to define due to
the age of the child. These problems include:
a. Inability to communicate wants and needs.
b. Toilet needs.
c. Feeding.
d. Diversion.
e. Maintaining position which makes it sometimes necessary
to use some form of jacket or restraint, especially to keep
the child from “rotating” around the traction apparatus.
5. All of the above need to be handled with individual
consideration. Get to know the child. Talk with the parents!
POSITION OF BED AND PATIENT
1. With the bed in a level position and body flat on the bed,
vertical suspension traction of the legs should be set up so
that the hips are flexed at right angles.
2. When the traction is in place, the buttocks should just clear
the mattress.
3. Lift the buttocks a few inches off the mattress. When the
buttocks are released, the child should return to the “just
clear” position described above. If not, check with the
attending physcian regarding a possible change in the amount
of weight.
TIPS AND PRECAUTIONS
1. Warning: Dangerous complications leading to ischemic
contractors can occur. Check both feet at least every
two hours for color, pulse, motion, temperature, and
sensation.
2. Check for undue pressure:
a. Over the outer head and neck of the fibula.
b. On the dorsum of the foot.
c. On the Achilles tendon.
3. Check to see that bandages, boots, etc., have not slipped and
become bunched around the toes or ankles.
24
TRACTION SETUP
1. Attach 66in. (168cm) swivel clamp bar with panel clampupper (UC) and panel clamp-lower (LC) to foot of crib.
2. Attach 27in. (69cm) single clamp bar to upright post,
extending over bed.
3. Attach 9in. (23cm) single clamp bar to upright post, extending
beyond end of bed.
4. Attach 36in. (91cm) center clamp bar horizontally to 27in.
(69cm) single clamp bar and position it directly above the
outside of the patient’s hips.
5. Attach a pulley to each end of bar, positioning them directly
above the outside of the patient’s hips.
6. Attach pulleys to the 9in. (23cm) single clamp bar.
7. Tie traction cord to Deluxe Convoluted Zim-Trac® Traction
Splints, thread through pulleys, then tie to weight carriers.
This procedure may be altered by using Skin-Trac Traction
Strips wrapped with Zimmer Premium or Standard
Orthopaedic Wrap.*
8. Apply weights.
* See page 50 on application of Skin-Trac Traction Strips.
Prod. No.
Components
Qty.
Basic Crib Frame Setup
00-0640-002-00
66in. (168cm) Swivel Clamp Bar
1
00-0640-013-00
Panel Clamp-Upper
1
00-0640-014-00
Panel Clamp-Lower
1
00-0640-011-00
36in. (91cm) Center Clamp Bar
1
00-0640-004-00
9in. (23cm) Single Clamp Bar
1
00-0640-006-00
1
00-0640-008-00
Pulleys
4
00-0905-005-00
Stephan Spreader Bar (optional)
1
00-2753-010-00
Deluxe Convoluted Zim-Trac Traction Splint
2
Weight Carriers
2
Traction Cord
Weights: As ordered by physician
25
Cervical Traction
INDICATIONS
TRACTION SETUP #1
1. Cervical myositis, dislocations, arthritis and/or degenerative
spinal disorders, whiplash, etc.
2. Minor fractures. (More serious fractures would be treated by
skeletal traction utilizing Vinke or Crutchfield cervical tongs.)
1. Attach basic setup to bed. (See pages 14-17).
2. Attach 18in. (46cm) single clamp bar to the upright bar of the
basic frame setup at a 45 degree angle to the headboard.
3. Attach 9in. (23cm) single clamp bar directly above 18in.
(46cm) bar perpendicular to head board.
4. Attach 18in. (46cm) single clamp bar vertically to the 9in.
(23cm) single clamp bar.
5. Attach pulleys as shown in photo.
6. Tie traction cord to spreader bar, thread through pulleys, then
tie to weight carrier.
7. Apply head halter to patient. (Check for comfort, i.e., ears not
binding, straps not resting against side of head, chin piece not
constricting throat.)
8. Attach head halter to spreader bar.
1. If possible, position the patient flat on back with the bed in the
level position, unless otherwise prescribed by the physician.
2. Additional countertraction may be accomplished by putting
the head of the bed on elevation blocks, or by raising the
back rest.
1. Patient may be positioned with his or her head at the foot end
of the bed when a Buck’s Extension Bracket is used on certain
types of beds.
2. Hyperextension may be increased by placing a rolled towel or
tension pillow beneath the patient’s neck.
3. Use a spreader bar, which is wide enough so that the head
halter does not touch the side of the patient’s head or pinch
his or her ears.
4. Additional felt padding, frequent routine changing of the
padding and cornstarch or powder will help reduce skin
irritation.
5. Due to the biomechanics of jaw loading, pain may develop in
the ears or mandibular joint. A mouth guard, such as used by
athletes, may help relieve this problem.
6. Occasionally, with permission from the attending physician,
the patient may have the traction released for brief periods.
7. Prism glasses can make watching TV or reading easier.
8. Check occipital area for pressure spots. Patients in cervical
traction can develop pressure sores in this area.
9. Chewing and swallowing are frequently difficult. Diet
modifications may be necessary to ensure adequate intake.
10. Establish eye contact by standing where the patient can
see you.
11. Always remember to turn off the overhead lights when not
needed. A light shining directly in patient’s eyes is irritating.
26
TRACTION SETUP #2
1. Attach Buck’s Extension panel clamp to headboard.
2. Attach 27in. (69cm) single clamp bar vertically.
3. Attach 9in. (23cm) single clamp bar with pulley, perpendicular
to 27in. (69cm) single clamp bar.
4. Attach 18in. (46cm) double pulley bar to 9in. (23cm) single
clamp bar.
5. Follow previous instructions, steps 6 through 8.
TRACTION SETUP #2
TRACTION SETUP #1
Prod. No.
Components
Basic Frame Setup
(See pages 14-17 or page 82)
1
00-0619-000-00
Zimcode Buck’s Extension
1
18in. (46cm) Single Clamp Bars
2
00-0640-006-00
1
Pulleys
3
00-0619-001-00
9in. (23cm) Single Clamp Bar with Pulley
1
Head Halter*
1
00-0619-002-00
18in. (46cm) Double Pulley Bar
1
Spreader Bar (appropriate width)
1
00-0619-003-00
1
Weight Carrier
1
Head Halter*
1
1
Weight Carrier
1
Prod. No.
Components
Basic Frame Setup
00-0640-004-00
00-0640-005-00
00-0640-008-00
00-0849-001/004-00
Traction Cord
Qty.
00-0849-001/004-00
Qty.
Traction Cord
* See page 72 for a complete selection of head halters.
* See page 72 for a complete selection of head halters.
27
Traction On HumerusOverhead (90-90)
INDICATIONS
Immobilization or stabilization of fractures, dislocations,
and other pathology of the upper arm and shoulder.
REQUIREMENTS
The establishment of an angle of pull which produces the best
possible alignment for reduction of the fracture.
If possible, the bed should be level with the patient flat
on back.
1. Remember, traction is applied to the humerus only. The
forearm is only in balanced suspension.
2. An overhead frame and trapeze will facilitate patient care and
enable the patient to be more active and help himself.
3. Exposed adhesive sides of Skin-Trac Traction Strips should be
covered near hand and other bony prominences to prevent
sticking and skin irritation.
4. Countertraction can be increased by:
a. Placing a rolled blanket between the mattress and spring
on the traction side of the bed.
b. Placing bed elevation or shock blocks under the bed on
the traction side of the bed to tilt the patient away from
the traction.
c. Using a body or jacket restraint to keep the patient away
from the traction side of the bed.
5. Encourage active and passive exercises especially to the wrist
and fingers of the affected arm.
6. The bed linen is most easily changed from top to bottom.
7. Make sure bandage wrappings are not tighter at the proximal
rather than distal end of arm otherwise swelling may occur.
8. Make sure bandage wrappings are not cutting at the elbow or
wrist. This can be prevented by placing a piece of felt padding
in these areas.
9. Due to its elevated and immobile position, the hand may feel
cold to the patient even though circulation is adequate. A light
covering, such as with a towel, can relieve this problem.
10. Frequent and thorough back care is essential to prevent
28
skin breakdown as well as to relieve the general discomfort
resulting from remaining in the supine position for an
extended period.
11. Since the patient has the use of only one hand (and frequently
not the one normally used), he or she may require help with
eating to ensure adequate dietary and fluid intake. These
patients also will need help with other self-care procedures
such as teeth brushing, hair combing, etc. Also keep items
such as water, tissues, etc., within easy reach.
12. Remember to turn off overhead lights when not needed.
A light shining directly in patient’s eyes is irritating.
13. Patients in 90-90 traction will need prism glasses for reading
and watching TV.
14. Be sure to stand where the patient can see you!
TRACTION SETUP
1. Attach basic frame setup to bed. (See pages 14-17 or
page 82)
2. Attach 40in. (100cm) bar with cross clamps to overhead bar
above the patient’s arm.
3. Attach 5in. (13cm) single clamp bar on each upright bar at foot
of bed. Add cross clamp to each 5in. (13cm) single clamp bar.
Connect the two sides together with a 40in. (100cm) plain bar.
4. Attach two pulleys to 40in. (100cm) bar overhead of patient,
one on each side.
5. Attach one pulley to 40in. (100cm) plain bar at the foot
of the bed.
6. Apply Skin-Trac Traction Strip smoothly to arm.*
7. Wrap Zimmer Premium or Standard Orthopaedic Wrap
around arm.
8. Tie traction cord to spreader block, thread through pulleys,
then attach to weight carrier.
9. Place patient’s forearm and hand in large polyester pile knee
sling, attach traction cord to spreader bar, tie other end of rope
to an “S” hook and place over the pulley.
10. Apply weights.
Prod. No.
Components
Qty.
Basic Frame Setup
00-1083-003-00
2
00-1042-004-00
Cross Clamps
2
00-2700-040-00
40in. (100cm) Plain Bar
1
00-0640-008-00
Pulleys
3
00-0923-003-00
3in. (8cm) Spreader Block
1
00-3874-003-00
Skin-Trac Traction Strip 3in. x 40in. (8cm x 102cm)
1
00-4444-003-00
1 roll
00-5555-003-00
Zimmer Standard Orthopaedic Wrap 3in. (8cm)
or
Zimmer Premium Orthopaedic Wrap 3in. (8cm)
00-0056-011-00
Large Polyester Pile Knee Sling
1
Weight Carriers
2
1 roll
Traction Cord
29
Pelvic Traction With Pelvic Belt
INDICATIONS
TRACTION SETUP
1.
2.
3.
4.
page 82)
2. Attach 36in. (91cm) center clamp bar to overhead bar at
extreme foot end of bed.
Trial treatment of nerve root disorders.
Sciatica.
Muscle spasms (low back).
Minor fractures of lower spine.
The attending physician may prescribe countertraction either by:
1. Elevation of the foot of the bed using shock blocks.
2. Gatching of the bed at the knees.
3. Placing pillows under the knees.
4. Placing the bed in the semi-Fowler’s (jackknife) position.
Whichever countertraction the physician prescribes, the
patient should be flat on back.
1. Check and adjust pelvic belt straps so they are unrestricted
and equal in length. It is a good idea to secure the straps with
adhesive tape or a safety pin.
2. Make sure the angle of pull is correct.
3. Since the pelvic belt is applied directly to the skin, check
frequently for skin irritation, especially on the iliac crests.
Powder and other skin care measures can help prevent skin
irritation and breakdown.
4. Pelvic belts should be changed and laundered when they
become soiled, or at least every three days.
5. Constipation will add to patient discomfort. Measures should
be taken to prevent this condition and patients should be
taught why these measures are necessary.
6. A footboard will help prevent foot drop.
7. Back pain is often hard to define and relieve, but it is very real.
Moral support is essential for these patients. They also should
be instructed on proper body mechanics and care of the back
to prevent future disorders.
30
NOTE: One 9in. (23cm) single clamp bar may be placed on the
upright bar at the foot of the bed for attachment of one
36in. (91cm) center clamp bar to provide greater clearance
for weights.
3. Attach two pulleys to 36in. (91cm) center clamp bar.
4. Measure patient’s girth at the crest of the ilium to ensure
correct size of belt.
5. Apply pelvic traction so that the lower portion of the belt is
at or slightly below the greater trochanter. (Belt is not to be
applied like an abdominal binder.)
6. Attach traction cords to straps of pelvic belt, thread through
pulleys then tie to weight carriers.
7. Apply weights.
NOTE: The above procedure may be altered using a 22in. (56cm)
spreader bar and a single traction cord, pulley and weight
carrier. The 36in. (91cm) center clamp bar can be deleted,
and a 9in. (23cm) single clamp bar with pulley can be
attached at an angle to the upright bar at the foot end of
the bed. (See photo on p. 31)
Prod. No.
Components
Qty.
Basic Frame Setup
00-0640-011-00
1
00-0640-004-00
9in. (23cm) Single Clamp Bar (optional)
1
Pelvic Traction Belt*
1
00-0648-000-00
22in. (56cm) Spreader Bar (optional)
1
00-0640-008-00
Pulleys
2
Weight Carrier
1
Traction Cord
* See page 74 for a complete selection of pelvic
traction belts.
31
Buck’s Unilateral Leg Traction
(One Leg)
INDICATIONS
TRACTION SETUP
1.
2.
3.
4.
5.
page 82)
2. Attach one 5in. (13cm) single clamp bar to upright bar
at foot of bed. NOTE: A 9in. (23cm) single clamp may
be used for greater clearance of the weights.
3. Attach on 9in. (23cm) single clamp bar to 5in. (13cm) single
clamp bar.
4. Attach pulley to 9in. (23cm) single clamp bar.
5. Apply Deluxe Convoluted Zim-Trac Traction Splint to leg.
6. Tie traction cord to splint, thread through pulley, then tie to
weight carrier.
7. Apply weights.
Trial treatment of nerve root disorders.
Sciatica.
Muscle spasms.
Minor fractures of the lower spine.
Temporary stabilization of fractured hips or fractures of the
femoral shaft.
6. Degenerative arthritis and knee injuries.
The patient should be flat on back with the foot of the
bed elevated.
1. Pulley bars must be placed so that the line of pull aligns distal
to proximal.
2. Cover exposed adhesive side of Skin-Trac Traction Strips (if
used) near ankles with strips of felt or sheet wadding to help
prevent the Skin-Trac Traction Strips from sticking onto the foot
and ankle.
3. Make sure wrappings are not too tight across the dorsum of
the foot. Excess pressure can cause severe complications.
4. Pressure on the heels can cause irritation and skin
breakdown. Make sure heels are not digging into the mattress.
If necessary, place small foam pads, folded blankets, etc.,
under full length of the calf to keep heels off the bed.
5. Make sure pressure is kept off the peroneal nerve or foot drop
may occur.
6. A bed cradle may be used to keep bed covers from resting
on the feet.
7. Encourage activity as tolerated, including active and passive
exercises. The patient should use the trapeze for moving about
in bed.
32
NOTE: The above procedure may be altered by using Skin-Trac
Strips wrapped with a Zimmer Premium or Standard
Orthopaedic Wrap.
Prod. No.
Components
Qty.
Basic Frame Setup
00-1083-003-00
1
00-0640-004-00
(second bar optional)
2
00-0640-008-00
Pulley
1
00-1774-001-00
Universal Traction Splint
1
Weight Carriers
1
Traction Cord
33
Unilateral Leg Traction Using
Böhler-Braun Frame
INDICATIONS
TRACTION SETUP
Comminuted fractures extending into the knee joint; unstable
fractures of the tibia or femur; open fractures associated
with severe soft tissue damage. Can be applied with either
skin or skeletal traction. Especially useful for patients where
transportation is necessary since the traction apparatus is
self-contained.
1. Attach canvas slings (provided) to frame.
2. Physician to insert pin and attach Steinmann Pin Holder.
Skin-Trac Traction Strips may also be applied according to the
traction position prescribed by the attending physician.*
3. Lift the injured leg and place the frame under it with the knee
directly over the angle of the frame.
4. Adjust the towels or sling so that any pressure points are
eliminated. (Protect heel and hamstring tendons.)
5. Tie traction cord to Steinmann Pin Holder, thread through
pulleys, then tie to weight carriers.
6. Apply weights.
Patient should be flat on back with the bed level.
1. Slings should be placed so no pressure is on the popliteal
space, Achilles tendon, or the heel.
2. Make sure elastic bandages are not tighter at the proximal
rather than the distal end of the femur or lower leg, otherwise
swelling may occur.
3. Make sure the proximal end of the frame does not press into
the perineum. A large dressing or pieces of sheep skin can be
used to pad this area and can be easily changed if soiled.
4. An overhead frame and trapeze will facilitate patient care as
well as help the patient to move about more easily.
5. Apply an anti-embolism stocking to the unaffected leg.
6. Usually, the patient can turn towards the splint for backcare,
linen changes, etc. It may be easier if the bed is made with
two folded sheets, one at the head and another at the foot
underneath the splint. Then, if only one part of the bed needs
changing, the splint will not have to be moved.
7. Pressure from slings, wrappings, etc., or from the leg lying
against the side of the frame can cause peroneal nerve
damage. Make sure leg is not externally rotated, and check the
neurovascular status every two hours.
8. If skeletal traction is used, refer to your institution’s policies
regarding care of the pin sites.
34
NOTE: A Deluxe Convoluted Skin-Trac Traction Splint may be used
on lower portion of leg in place of Skin-Trac Traction Strips
and bandages.
Prod. No.
Components
Qty.
00-0112-002-00
Böhler-Braun Frame-Complete
(See page 20)
1
00-0923-003-00
3in. (8cm) Spreader Block
1
00-0113-002-00
Canvas Slings
5 box
00-0114-004-00/ Böhler-Steinmann Pin Holder*
00-0114-006-00
1
00-3874-003-00
Skin-Trac Traction Strips (optional)
3in. x 40in. (8cm x 102cm)
2
00-4444-003-00
Zimmer Standard Orthopaedic Wrap (optional)
3in. x 5yds. (8cm x 5m)
2 rolls
00-5555-003-00
Zimmer Premium Orthopaedic Wrap (optional)
3in. x 5.5yds. (8cm x 5m)
2 rolls
00-1774-001-00
Universal Traction Boot (optional)
To be used in place of Skin-Trac Traction
Strips and Zimmer Orthopaedic Wraps
1
Weight Carriers
2
Traction Cord
* See page 66 for sizes and dimensions of Böhler-Steinmann Pin Holder
35
Russell’s Traction
INDICATIONS
TRACTION SETUP
1. Treatment of certain types of knee injuries.
2. Fracture of the shaft of the femur or hip.
1. Attach basic frame setup to bed. (See pages 14-17 or page 82)
2. Attach two cross clamps each upright at end of bed (towards
the top of the bar). Connect the two cross clamps with a 40in.
(100cm) plain bar.
3. Attach a 5in. (13cm) single clamp bar to each of the 40in.
(100cm) plain bars at the foot of bed on the side of the
effected extremity.
4. Attach a 9in. (23cm) single clamp bar to each of the 5in.
(13cm) single clamp bars so they extend across line
of injured leg.
5. Attach pulley to each 9in. (23cm) single clamp bar.
6. Attach pulley to overhead bar directly above the knee.
7. Apply Skin-Trac Traction Strip smoothly to leg.
8. Wrap Zimmer Premium or Standard Orthopaedic Wrap around
Skin-Trac Traction Strip on leg.
9. Attach footpiece with pulley to bottom of foot and incorporate
footpiece into Skin-Trac Traction Strip.
10. Apply knee sling under knee.
11. Tie traction cord to spreader bar for knee sling; thread through
overhead pulley; through upper pulley on 9in. (23cm) single
clamp bar at end of bed; through pulley on footpiece; then
through lower pulley on 9in. (23cm) single clamp bar at end of
bed; finally tie traction cord to weight carrier.
12. Insert spreader into knee sling.
13. Apply weights.
Proper countertraction is obtained either by elevating the foot
of the bed, or by gatching the bed at knees with the patient
flat on back. In certain instances, the head of the bed may be
elevated, but only at the discretion of the attending physician.
The physician may also order a pillow placed under the affected
leg. If so, this must be checked frequently to make sure proper
alignment is maintained.
1. Make certain the knee sling is smooth and that its edges do
not cut into the soft tissues.
2. Due to the pulley arrangement, the pull on the foot is
double that of the weight applied.
(See vectors of force, page 9.)
3. If a pillow is ordered for under the calf when the traction
is initially set up, it must remain in place. Removing it can
change the vectors of force and alignment.
4. Arrangements of Russell’s Traction vary. Therefore, be
aware of how it was set up initially.
5. Nursing care is simplified by suspension of the limb,
which allows the patient to lift and move about with minimal
disturbance to the line of pull. This suspension is achieved
through the delicate balance of traction and countertraction
resulting from the distribution of weight through the various
elements.
6. Proper application of Skin-Trac Traction Strips and wrapping
of elastic bandages are crucial to the prevention of peroneal
nerve damage. Neurovascular checks must be made at least
every two hours.
7. Active and passive exercises should be done routinely. The
patient should be encouraged to do as much for himself or
herself as possible. Good skin care is also imperative.
8. An anti-embolism stocking should be applied to the
unaffected leg on all adult patients.
36
NOTE: Deluxe Convoluted Zim-Trac Traction Splint may be used
instead of Skin-Trac Traction Strip.
Prod. No.
Components
Basic Frame Setup
00-1042-004-00
Cross Clamp
2
00-2700-040-00
1
00-1083-003-00
2
00-0640-004-00
2
00-0640-008-00
Pulleys
3
00-0056-002-00
Bunker Footpiece with Pulley
1
00-0056-008-00
Polyester Pile Knee Sling
7in. x 15in. (18cm x 38cm)
or
12 1/2in. x 20in. (32cm x 51cm)
1
00-0849-001/004-00
1
00-3874-003-00
Skin-Trac Traction Strip
3in. x 40in. (8cm x 102cm)
1
00-4444-003-00
Zimmer Standard Orthopaedic Wrap
3in. (8cm)
1 roll
00-5555-003-00
Zimmer Premium Orthopaedic Wrap
3in. (8cm) (optional)
1 roll
00-2753-010/014-00
Deluxe convoluted Zim-Trac Traction Splint
(optional). To be used in place of Skin-Trac
Traction Strips and Zimmer Standard
Orthopaedic Wrap.
00-0056-011-00
Weight Carrier
Qty.
1
1
Traction Cord
37
Split Russell’s Traction
INDICATIONS
TRACTION SETUP
1. Fractures of the femoral shaft, hip, and lower leg or any
combination of these.
2. Treatment of certain types of knee injuries.
1. Attach basic frame setup to bed. (See pages 14-17
or page 82)
2. Attach 5in. (13cm) single clamp bar to 40in. (100cm)
horizontal bar at foot of bed.
3. Attach 9in. (23cm) single clamp bar to 5in. (13cm)
single clamp bar.
4. Attach two pulleys to 9in. (23cm) single clamp bar at
foot of bed.
5. Attach pulley to horizontal 40in. (100cm) plain bar over
knees of patient above injured leg.
6. Attach pulleys to 9in. (23cm) single clamp bar at foot of bed.
7. Apply Deluxe Convoluted Zim-Trac Traction Boot.
8. Apply knee sling under knee.
9. Tie traction cord to spreader bar for knee sling. Thread
through overhead pulley; through one pulley on 9in. (23cm)
single clamp bar at end of bed; finally, tie traction cord to
weight carrier.
10. Insert spreader bar into knee sling.
11. Tie traction cord to footpiece; thread through other
pulley on 9in. (23cm) single clamp bar at end of bed,
tie traction cord to weight carrier.
12. Apply weights.
Proper countertraction is obtained either by elevating the foot of
the bed, or by gatching the bed at knees with the
patient flat on back. In certain instances, the head of the bed
may be elevated, but only at the discretion of the
attending physician. The physician may also order a pillow
placed under the affected leg. If so, this must be checked
frequently to make sure proper alignment is maintained.
1. Make certain the knee sling is smooth and that its
edges do not cut into the soft tissues.
2. If a pillow is ordered for under the calf when the
traction is initially set up, it must remain in place.
3. Arrangements of Russell’s Traction vary. Therefore,
be aware of how it was set up initially.
4. Nursing care is simplified by suspension of the limb, which
allows the patient to lift and move about with minimal
disturbance to the line of pull. This suspension is achieved
through the delicate balance of traction and countertraction
resulting from the distribution of weight through the various
elements.
5. Proper application of Skin-Trac Traction Strips andwrapping
of elastic bandages are crucial to the prevention of peroneal
nerve damage. Neurovascular checks must be made at least
every two hours.
6. Active and passive exercises should be done routinely. The
patient should be encouraged to do as much for himself or
herself as possible. Good skin care is also imperative.
7. An anti-embolism stocking should be applied to theunaffected
leg on all adult patients.
38
NOTE: Skin-Trac Traction Strip and footpiece may be
used instead of Deluxe Convoluted Zim-Trac
Traction Boot.
Prod. No.
Components
Basic Frame Setup
00-0640-004-00
1
00-1083-003-00
1
00-0056-008-00 or
7in. x 15in. (18cm x 38cm)
or
121/2in. x 20in. (32cm x 51cm)
1
00-0849-001/
004-00
1
00-2753-010/
014-00
Deluxe Convoluted Zim-Trac Traction Splint
to be used in place of Skin-Trac Traction Strips
and Zimmer Standard Orthopaedic Wrap.
00-3874-003-00
Skin-Trac Traction Strip (optional)
3in. x 40in. (8cm x 102cm)
1
00-4444-003-00
Zimmer Standard Orthopaedic Wrap (optional)
3in. (8cm)
1 roll
00-5555-003-00
Zimmer Premium Orthopaedic Wrap (optional)
3in. (8cm) (optional choice)
1 roll
Weight Carrier
2
00-0056-011-00
Qty.
1
Traction Cord
39
Balanced Suspension and Traction with Thomas
or Brady Leg Splint (Utilizing Skin Traction)
INDICATIONS
TRACTION SETUP
Fractures of the femoral shaft, hip, and lower leg, or any
or page 82)
at head of bed on injured limb side at 15 degree angle.
4. Attach two 9in. (23cm) single clamp bars to upright bar
at foot of bed.
5. Attach one cross clamp to each 9in. (23cm) single clamp bar.
6. Attach the two cross clamps to the 40in. (100cm) plain bar.
7. Attach one pulley to the top 40in. (100cm) plain bar on the
side of the injured leg.
8. Attach one pulley to the bottom 40in. (100cm) plain bar on the
side of the injured leg.
9. Attach Pearson Attachment to Thomas or Brady Leg Splint with
point of attachment at patient’s knee joint.
10. Form cradle for leg by attaching polyester pile slings to splint
and Pearson Attachment.
11. Lift leg and move splint and Pearson Attachment under leg
with ring resting loosely against ischial tuberosity.
12. Apply Deluxe Convoluted Zim-Trac Traction Strips to leg.*
13. Tie one end of traction cord to the proximal lateral end of the
splint. Wrap three times around the spreader bar and tie on
the opposite side of the splint.
14. Tie another traction cord to center of spreader bar, thread
through pulley above chest, then through pulley at head of
bed, and tie to weight carrier.
15. Thread another traction cord through the rope locators on the
distal end of the splint. Tie loose end of traction cord back on
to itself to form a triangle. Next, thread traction cord through
pulley on 40in. (100cm) bar above bed at knee, and then
through pulley on 40in. (100cm) top bar at end of bed. Finally,
tie to weight carrier.
16. Tie another traction cord to end of Pearson Attachment and tie
to distal end of splint.
17. Tie traction cord to foot plate on Zim-Trac Traction Splint,
thread through pulley on bottom 40in. (100cm) bar, then tie to
weight carrier.
GENERAL INFORMATION
The difference between the Thomas and Brady systems is that
the Brady system is universally sized, whereas the Thomas is
sized to fit individual patients.
Elevate foot of bed with patient flat on back. In certain instances,
the head of the bed may be elevated, but only at the discretion
of the attending physician.
1. Padding the ischial ring with sheepskin enhances patient
comfort. The sheepskin can be easily removed when soiled
without affecting the balance of the setup.
2. Meticulous skin care and decubitus prevention measures
must be carried out routinely.
3. Active and passive exercises should be done at least four
times a day.
4. Make sure the leg does not rotate externally and place
pressure on the peroneal nerve. Check the neurovascular
status of the limb at least every two hours.
5. If elastic bandages are used, they should be checked
frequently for excessive pressure at the site of the fibular head
and the dorsum of the foot.
6. Slings should be positioned so that the heel and Achilles
tendon do not carry the weight of the lower leg.
7. Patients in this type of suspension and traction initially
experience much discomfort and are very apprehensive. The
nurse needs to explain all procedures as well as enlist the
cooperation of the patient in helping with his or her care.
8. The patient generally finds a fracture bed pan more
convenient.
9. It is easier to make the bed from the head to the foot. The
patient can lift his head and shoulders by using the trapeze.
10. In most cases, the patient should wear an antiembolism
stocking on the unaffected leg.
40
18. Apply weights.
19. Distribution of the weight through the various elements
should be arranged so that a delicate balance of
traction and countertraction is maintained.
NOTE: The above procedure may be altered by using
Skin-Trac Traction Strips wrapped with Zimmer Premium
or Standard Orthopaedic Wrap.*
* See Page 50 on application of Skin-Trac Traction Strips.
Prod. No.
Components
Qty.
Basic Frame Setup
00-0640-004-00
3
00-1042-004-00
Cross Clamps
2
00-2700-040-00
1
00-0640-008-00
Pulleys
5
00-1232-005/011-00 Thomas Leg Splint (appropriate size)
1
00-1232-012/015-00 Pearson Attachment (appropriate size)
1
00-1232-007-00
1
00-1232-035-00
Set of 3 slings
or
Full-length Polyester Pile Sling
1
00-0849-001/004-00 Spreader Bar (appropriate width)
1
00-1774-001-00
Universal Traction Splint
1
Weight Carriers
3
Traction Cord
41
Balanced Suspension and Traction with Thomas
or Brady Leg Splint (Utilizing Skeletal Traction)
INDICATIONS
Fractures of the femoral shaft, hip, and lower leg, or any
11. For skeletal traction, refer to your own institution’s policies
regarding care of the pin site.
TRACTION SETUP
GENERAL INFORMATION
The difference between the Thomas and Brady systems is that
the Brady system is universally sized, whereas the Thomas is
sized to fit individual patients.
Elevate foot of bed with patient flat on back. (In certain
instances, the head of the bed may be elevated, but only
at the discretion of the attending physician.)
1. Padding the ischial ring with sheepskin enhances patient
comfort. The sheepskin can be easily removed when soiled
without affecting the balance of the setup.
2. Meticulous skin care and decubitus prevention measures
must be carried out routinely.
3. Active and passive exercises should be done at least four
times a day.
4. Make sure the leg does not rotate externally and place
pressure on the peroneal nerve. Check the neurovascular status of the limb at least every two hours.
5. If elastic bandages are used, they should be checked
frequently for excessive pressure at the site of the fibular
head and the dorsum of the foot.
6. Slings should be positioned so that the heel and Achilles
tendon do not carry the weight of the lower leg.
7. Patients in this type of suspension and traction initially
experience much discomfort and are very apprehensive. The
nurse needs to explain all procedures as well as enlist the
cooperation of the patient in helping with his or her care.
8. The patient generally finds a fracture bed pan more
convenient.
9. It is easier to make the bed from the head to the foot. The
patient can lift his head and shoulders by using the trapeze.
10. In most cases, the patient should wear an antiembolism
stocking on the unaffected leg.
42
or page 82).
2. Attach one 9in. (23cm) single clamp bar to upright
bar at head of bed on the injured limb side at a 45
degree angle.
4. Attach two 9in. (23cm) single clamp bars to upright bar
at foot of bed.
5. Attach one cross clamp to each 9in. (23cm) single clamp bar.
6. Attach the two cross clamps together with a 40in. (100cm)
plain bar.
7. Attach one pulley to the top 40in. (100cm) plain bar on the
side with the injured leg.
8. Attach one pulley to the bottom 40in. (100cm) plain bar
on the side with the injured leg.
9. Attach Pearson Attachment to Thomas or Brady Leg Sling
with point of attachment at patient’s knee joint.
10. Form cradle for leg by attaching polyester pile slings to splints
and Pearson Attachment.
11. Lift leg and move splint and Pearson Attachment under leg
with ring resting loosely against ischial tuberosity.
12. Tie one end of traction cord to the proximal lateral end of the
splint. Wrap cord three times around spreader bar and tie on
opposite side of splint.
13. Tie another traction cord to center of spreader bar thread
through pulley above chest, then through pulley at head
of bed, and tie to weight carrier.
14. Thread another cord through rope locators at distal end
of splint. Tie loose end of traction cord back on to itself to
form a triangle. Next, thread traction cord through pulley
on 40in. (100cm) bar overhead bed at knee, and then through
pulley on 40in. (100cm) top bar at end of bed. Finally, tie to
weight carrier.
15. Tie third traction cord to end of Pearson Attachment, and tie
to distal end of splint.
16. Tie traction cord to Böhler Steinmann Pin Holder or Kirschner
Wire Tractor, thread through pulley on lower 40in. (100cm) bar
at end of bed, and tie to weight carrier.
17. Apply weights.
should be arranged so that a delicate balance of traction and
countertraction is maintained.
SINGLE FRAME SETUP
Prod. No.
Components
Basic Frame
00-0640-004-00
4
00-0640-005-00
2
00-0640-008-00
Pulleys
8
00-0114-004/006-00
Böhler-Steinmann Pin Holder
1
00-0849-001/004-00
1
00-1232-005/011-00
Thomas Leg Splint (appropriate size)
1
00-1232-012/015-00
Pearson Attachment (appropriate size)
1
00-1232-035-00
Full-Length Sling
or
Set of 3 Slings
1
Weight Carriers
3
00-1232-007-00
Qty.
1
Traction Cord
The above photo shows how this traction system may be set up
using a single frame setup.
FOUR-POSTER (BALKAN) FRAME SETUP
Prod. No.
Components
Offset Four-Poster
Frame
00-0640-004-00
3
00-0640-008-00
Pulleys
5
00-0114-004/006-00
1
00-0849-001/004-00
Spreader bar (appropriate width)
1
00-1232-005/011-00
1
00-1232-012/015-00
1
00-1232-007-00
Set of 3 Slings
or
Full Length Sling
1
Weight Carriers
3
00-1232-035-00
The above photo shows how this traction system may be set
up using a four-poster or Balkan frame. The four-poster frame
enhances the overall stability of the setup, particularly for
patients over 250lbs. (113kg).
Qty.
1
Traction Cord
43
Patient Exercises Utilizing Traction Equipment
A systematic program of exercises using basic traction frames
and accessories can be an integral step in the rehabilitation
process of the patient confined to bed. Such exercises are not
only the initial step in restoring the lost motion to the affected
extremity, but also serve as an intermediary bridge between
the non-ambulatory period and more concentrated and
specific exercise periods in the physical therapy department.
In addition, bed exercise can provide a needed psychological
lift for the patient by allowing him to have an active part in his
rehabilitation program with the goal of early ambulation and
early return to home or occupation.
ARM AND SHOULDER EXERCISE
UTILIZING WEIGHTS
INDICATIONS
1. Post-radical mastectomy for increased range of motion.
2. Shoulder injuries involving loss of range of motion
or strength.
3. Strengthening of arms prior to crutch walking.
4. Strengthening of anterior shoulder muscles and the deltoid
muscle using the weights as a counterbalance to assist
motion. In most instances, only the unilateral setup shown
in the insert photo at right is required.
(Also see “Arm and Shoulder Exercises Without Weights”
page 46.)
5. Any other arm or shoulder problem in which exercises utilizing
weights are indicated to increase extremity strength through
resistance.
SETUP INSTRUCTIONS
1. Attach basic frame setup to bed.
at foot of bed.
3. Attach one 36in. (91cm) center to 9in. (23cm) single
clamp bar.
4. Attach one 36in. (91cm) center clamp bar to overhead bar.
5. Attach one pulley to each side of both 36in. (91cm)
center clamp bars.
6. Attach traction cord to weight carrier, thread through pulleys
and tie to Nelson Finger Exerciser (hand grip).
7. Apply weights.
NOTE: Unilateral setup can be achieved as shown in photo
by using 9in. (23cm) single clamp bars instead of 36in.
(91cm) center clamp bars.
44
Prod. No.
Components
Qty.
Basic Frame
00-0640-004-00
1
00-0640-011-00
2
00-0640-008-00
Pulleys
4
00-0920-000-00
Nelson Finger Exercisers
2
Weight Carriers
2
Traction Cord
45
ARM AND SHOULDER EXERCISE
WITHOUT WEIGHTS
INDICATIONS
1.
2.
3.
4.
Post-radical mastectomy.
Shoulder injuries involving loss of range of motion or strength.
Bursitis and other inflammatory conditions.
Strengthening of anterior shoulder muscles and the deltoid
muscle using the unaffected arm to provide a counterbalance
to assist motion. This exercise is primarily for the patient who
has a weakened shoulder and requires a counterbalance to
lift his or her arm weight.
SETUP INSTRUCTION
2. Attach one 36in. (91cm) center clamp bar to overhead
bar above patient.
3. Attach one pulley to each side of 36in. (91cm) center
clamp bar.
4. Tie traction cord to one Nelson Finger Exerciser (hand grip),
thread through pulleys and tie to other Nelson Finger Exerciser.
5. Adjust to patient’s needs.
Prod. No.
Components
Basic Frame
00-0640-011-00
1
00-0640-008-00
Pulleys
2
00-0920-000-00
Nelson Finger Exercisers
2
Traction Cord
46
Qty.
LOWER EXTREMITY EXERCISE
INDICATIONS
Any post-surgical or post-injury condition in which the
following goals are desired:
1. Strengthening of hip flexors following surgery or weakness
from prolonged immobility.
2. Increasing range of motion of hip, knee or both following
surgery or prolonged immobilization due to lower
extremity fractures.
3. To increase strength of quadriceps and other muscles involved
in straight leg raising.
4. Increase strength of dorsi-flexors by suspending heel off
bed during dorsi-flexion to prevent friction with the sheet.
SETUP INSTRUCTIONS
2. Attach one 9in. (23cm) single clamp bar directly above
patient’s arm.
3. Attach one 9in. (23cm) single clamp bar over patient’s
affected leg.
4. Attach pulley to each 9in. (23cm) single clamp bar.
5. Attach traction cord to spreader bar, thread through
pulleys and tie to Nelson Finger Exerciser (hand grip).
6. Attach polyester pile knee sling to spreader bar.
NOTE: Location of knee sling is dependent upon
exercise goals.
Prod. No.
Components
Qty.
Basic Frame
00-0640-004-00
2
00-0640-008-00
Pulleys
2
00-0056-011-00
12 1/2in. x 20in. (32cm x 51cm)
1
00-0920-000-00
Nelson Finger Exerciser
1
00-0849-001/004-00
1
Traction Cord
47
KNEE EXERCISE WITH THOMAS SPLINT
INDICATIONS
SETUP INSTRUCTIONS
1. Following knee surgery in which an increase in flexion and/or
extension is desired.
2. Conditions as above which also require increased strength of
quadriceps and/or knee flexors (hamstrings, gastrocnemius).
3. Beginning pattern for increased range of motion and/or
strengthening hip flexion, knee flexion, and dorsi-flexion.
2. Attach one 9in. (23cm) single clamp bar with one pulley
to overhead bar above patient’s upper extremity.
to overhead bar above patient’s thigh.
4. Attach one 9in. (23cm) single clamp bar with three pulleys
to overhead bar above patient’s foot.
at foot of bed.
6. Attach one 18in. (46cm) single clamp bar with two pulleys
to 9in. (23cm) single clamp bar.
to upright bar at head of bed at 45 degree angle.
8. Position Thomas Splint and Pearson Attachment under
patient’s leg.
9. Tie traction cord to one side of traction splint, wrap around
spreader bar and tie to other side of splint.
10. Tie traction cord to spreader bar; thread through pulley above
thigh then through pulley at head of bed. Tie to weight carrier.
11. Tie traction cord to distal end of Pearson Attachment, thread
through pulley above foot; thread through pulley at foot end;
then tie to weight carrier.
12. Tie traction cord to distal end of leg splint, thread through
pulley above foot; thread through pulley at foot end; then tie
to weight carrier.
13. Tie traction cord to distal end of leg splint; thread through
pulley above foot; thread through pulley above patient’s upper
extremity; then tie to Nelson Finger Exerciser.
14. Apply weights.
should he arranged so that the system is balanced.
NOTE: A short piece of traction cord also tied to the Nelson Finger
Exerciser and then tied to the bed frame may also be used
to keep the grip within easy reach.
48
Prod. No.
Components
Basic Frame
00-0640-004-00
4
00-0640-005-00
2
00-0640-008-00
Pulleys
8
00-0920-000-00
1
00-0849-001/004-00
1
00-1232-005/011-00
1
00-1232-012/015-00
1
00-1232-035-00
Full-Length Sling
or
Set of 3 Slings
1
Weight Carriers
3
00-1232-007-00
Qty.
1
Traction Cord
49
How To Apply Skin-Trac Skin
Traction Straps
®
Use a Skin-Trac Skin Traction Strip size which permits covering
as much skin as possible, thereby distributing the tension force
over as much skin as possible. However, since the objective
in fracture treatment is to apply tension on the tissues around
the fracture, the Skin-Trac Skin Traction Strip should not extend
proximally beyond the line of the fracture. Care must be taken
that the strips do not overlap; that is, at least a 1in. (2.5cm)
space must be maintained between the strips, otherwise the
elastic bandage may cause soft tissue damage.
Hospital policy and/or physician preference determines the type
of skin preparation required prior to the application of Skin-Trac
Skin Traction Strips. Hospital policy and/or physician preference
will also determine skin care, usually checked at least every
eight hours.
AVOID TIGHT WRAPPING AT
THESE PRESSURE POINTS
Deltoid
Tuberosity
Styloid Process
of Ulna
Lateral
Epicondyle
Olecranon
Process
Ulnar Nerve
VERTICAL
(FOREARM)
TRACTION
Begin wrapping at
small end of limb.
LATERAL (HUMERUS) TRACTION
50
Medial
Epicondyle
AVOID TIGHT WRAPPING AT THESE PRESSURE POINTS
Dorsal Prominence
Tuberosity of Tibia
Superficial Peroneal
Nerve
Achilles Tendon
Head of Fibula
Common Peroneal Nerve
Apply Skin-Trac Skin Traction Strip to limb
allowing room for Traction Spreader Block.
Begin wrapping at small end of limb.
Avoid Achilles tendon.
Application completed.
51
Universal Brady Balanced
Suspension System
• Indicated for fractures of the femoral shaft,
hip, lower leg, or any combination of these.
• Same as Thomas system, but universally
sized to adapt to any leg.
• May be used with skin or skeletal traction.
• Soft polyester pile accessories provide
comfortable support.
• Radiolucent.
• Packaged in kit form with complete
assembly instructions.
COMPLETE SET (00-1231-011-00*)
Prod. No.
Components
Dimensions
00-1231-005-00
Splint Assembly
1
00-1231-028-00
Ring Pad
1
00-1232-007-00
Polyester Pile Slings
Set of 3
per box
00-1231-015-00
Pearson Attachment
1
00-1232-010-00
Strap Clamps
Set of 6
per box
Traction Cord
36in. (91cm)
1
Traction Cord
10ft. (3m)
1
* Each item may be purchased separately.
OPTIONAL ACCESSORIES
52
Qty.
Prod. No.
Accessory
00-1231-009-00
Foot Pad
00-1231-016-00
Foot Exercise Assembly
(with 00-1231-009-00 Foot Pad)
00-1231-017-00
Bilateral Clamp Assembly
00-1231-028-00
Polyester Pile Ring Pad
Complete Set
00-1231-011-00
Pearson Attachment
00-1231-015-00
Splint Assembly
00-1231-005-00
Foot Exercise Assembly
00-1231-016-00
Foot Pad
00-1231-009-00
00-1232-007-00
Polyester Pile Ring Pad
00-1231-028-00
53
Radiolucent Thomas Leg Splint
• For fractures of the femoral shaft, hip, or lower leg.
• Used for balanced traction and suspension with either
skin or skeletal traction.
• Allows passive motion of knee without disturbing
fracture alignment.
• Youth through adult sizes.
• Rope locators prevent traction cord slippage.
• Water repellent replaceable straps and pads.
Complete Set
00-1232-000-00
00-1232-005/011-00
Strap Clamps
00-1232-010-00
Heel Rest
00-1232-137-00
00-1232-021/024-00
Foot Support
00-1232-017/020-00
00-1232-136-00
Foot Support Sling
00-1232-009-00
COMPLETE SETS OF RADIOLUCENT THOMAS LEG SPLINTS
Prod. No.
Size
Leg Splint
Pearson
Attachment
Foot
Support
Heel
Rest
Slings*
(Set of 3)
Strap Clamps
(Set of 16)
00-1232-000-00
Pediatric
00-1232-001-00
00-1232-034-00
00-1232-136-00
00-1232-137-00
00-1232-038-00
00-1232-010-00
00-1232-005-00
Small
00-1232-002-00
00-1232-012-00
00-1232-017-00
00-1232-021-00
00-1232-007-00
00-1232-010-00
00-1232-006-00
Medium
00-1232-003-00
00-1232-013-00
00-1232-018-00
00-1232-022-00
00-1232-007-00
00-1232-010-00
00-1232-008-00
Large
00-1232-004-00
00-1232-014-00
00-1232-019-00
00-1232-023-00
00-1232-007-00
00-1232-010-00
00-1232-011-00
X-Wide
00-1232-105-00
00-1232-015-00
00-1232-020-00
00-1232-024-00
00-1232-016-00
00-1232-010-00
* Optional full-length sling available (Prod. No. 00-1232-035-00).
54
Assembly Components for
Radiolucent Thomas Leg Splint
Leg Splint
00-1232-001-00
00-1232-002/105-00
LEG SPLINTS
Prod. No.
Size
Width
Inner Length
1/ in.
4
(13cm)
26
1/ in.
2
00-1232-001-00
Pediatric
5
00-1232-002-00
Small
7in. (18cm)
33in. (84cm)
00-1232-003-00
Medium
8in. (20cm)
39in. (99cm)
00-1232-004-00
Large
9in. (23cm)
45in. (114cm)
00-1232-105-00
X-Wide
12in. (30cm)
43in. (109cm)
Polyester Pile
Slings
00-1232-007-00
(67cm)
SLINGS
Prod. No.
Unit Qty.
Dimensions
Splint Application
00-1232-038-00
1
4in. x 15in.
(10cm x 38cm)
00-1232-001-00
(Set of 2)
1
6in. x 15in.
(15cm x 38cm)
00-1232-007-00
2
6in. x 19in.
(15cm x 48cm)
(Set of 3)
1
10in. x 19in.
(25cm x 48cm)
00-1232-016-00
2
6in. x 22in.
(15cm x 56cm)
(Set of 3)
1
10in. x 22in.
(25cm x 56cm)
Polyester Pile
Ring Pads
00-1232-125/128-00
Pearson Attachment
00-1232-012/015-00
00-1232-034-00
00-1232-002/004-00
Ring Straps
00-1232-030/033-00
00-1232-105-00
Ring Pad
00-1232-025/028-00
POLYESTER PILE RING PADS
PEARSON ATTACHMENTS
Prod. No.
Size
Length
00-1232-034-00
Pediatric
18 1/2in. (47cm)
00-1232-012-00
Small
22in. (56cm)
00-1232-013-00
Medium
25in. (63cm)
00-1232-014-00
Large
29in. (74cm)
00-1232-015-00
X-Wide
26 1/4in. (67cm)
Prod. No.
Size
Dimensions
00-1232-125-00
Small
12 3/4in. x 4 1/4in. (32cm x11cm)
00-1232-126-00
Medium
14 1/4in. x 4 1/4in. (36cm x 11cm)
00-1232-127-00
Large
16in. x 41/4in. (41cm x 11cm)
00-1232-128-00
X-Wide
20in. x 4in. (51cm x 10cm)
COMPONENTS
Size
Foot
Supports
Foot Support
Sling*
Heel
Rests
Ring
Straps
Strap Clamps
(Set of 16)
Ring
Pads
Polyester Pile
Ring Pads*
Pediatric
00-1232-136-00
00-1232-009-00
00-1232-137-00
00-1232-030-00
00-1232-010-00
00-1232-025-00
00-1232-125-00
Small
00-1232-017-00
00-1232-009-00
00-1232-021-00
00-1232-030-00
00-1232-010-00
00-1232-025-00
00-1232-125-00
Medium
00-1232-018-00
00-1232-009-00
00-1232-022-00
00-1232-031-00
00-1232-010-00
00-1232-026-00
00-1232-126-00
Large
00-1232-019-00
00-1232-009-00
00-1232-023-00
00-1232-032-00
00-1232-010-00
00-1232-027-00
00-1232-127-00
X-Wide
00-1232-020-00
00-1232-009-00
00-1232-024-00
00-1232-033-00
00-1232-010-00
00-1232-028-00
00-1232-128-00
* Optional accessory
55
Thomas Leg Splint
• For fractures of the femoral shaft, hip or lower leg.
• Applicable to either leg.
• Meets specifications of the Fracture Committee of
the American College of Surgeons.
• Choice of sizes.
• 3/8in. (9.5mm) steel rod diameter.
Half-Ring With
Vinyl Pad
Size
Ring Diameter
Inner Rod Length
00-0032-007-00
Child
7in. (18cm)
33in. (84cm)
00-0032-008-00
Youth
8in. (20cm)
40in. (102cm)
00-0032-009-00
Adult
9in. (23cm)
43in. (109cm)
Full-Length Sling
• Provides soft cradle for leg in Thomas Splint System.
• Offers greater comfort than supports utilizing towels.
• Adjustable to all splint sizes.
Prod. No.
Description
00-0032-015-00
Without Contact Closure Backing
00-1232-035-00
With Contact Closure Backing
Pearson Attachment
• Converts Thomas Splint to balanced suspension.
• Allows passive motion of knee without disturbing
alignment of fracture.
• Used with either skin or skeletal traction.
56
Prod. No.
Size
Length
00-0033-001-00
Child
19in. (48cm)
00-0033-002-00
Youth
21in. (53cm)
00-0033-003-00
Adult
25in. (64cm)
Foot Support and Heel Rest
• Foot support helps prevent peroneal paralysis. Heel rest
reduces heel irritation from friction contact with mattress.
• Both accessories are compatible with Neufeld
Splint System.
• Non-removable thumb screws cannot become lost.
Prod. No.
Description
Length
00-0034-001-00
Foot Support
10 1/4in. (26cm)
00-0034-002-00
Heel Rest
5 1/2in. (13cm)
Canvas Slings
• Replacement Slings for Böhler-Braun Frame.
• Canvas material.
Prod. No.
Qty.
00-0113-002-00
Box of 5
Canvas Knee Slings
• For suspension of the knee in Russell’s or
Humeral (90/90) Traction.
• Packaged 1 per box.
Prod. No.
Description
00-0056-001-00
Canvas Knee Sling
• For suspension of the knee in Russell’s or
Humeral (90/90) Traction.
• Two sizes.
Prod. No.
Description
00-0056-008-00
Small 7in. x 15in. (18cm x 38cm)
00-0056-011-00
Large 12 1/2in. x 20in. (32cm x 51cm)
57
Böhler-Braun Frame
Developed for comminuted fractures extending into the knee
joint; unstable fractures of the tibia; open fractures associated
with severe soft tissue damage.
•
•
•
•
Can be applied with either skin or skeletal traction.
Easily applied without elaborate traction setup.
Facilitates inspection of wound site.
Simplifies nursing care.
Prod. No.
Components
Qty.
00-0112-002-00
Böhler-Braun Leg Splint Complete
1
00-0113-002-00
Canvas Slings*
5
* May be ordered separately as an accessory.
Di Cosola Rope Holder
• Provides positive attachment to Thomas or Neufeld Splint
Rods to prevent traction cord from slipping.
• Non-removable thumb screw cannot be lost.
58
Prod. No.
Eyelet
Diameter
Length
Maximum Rod
Diameter
00-0213-000-00
3/4in. (19mm)
3/8in. (10mm)
5/8in. (16mm)
Stephan Spreader Bar
Utilized in Bryant’s Traction to achieve abduction and
angulation of legs for infants with femoral fractures or
congenital hip dislocation.
• Simplifies setup of Bryant’s Traction.
• Fully adjustable with infinite degree of angulation.
Prod. No.
Maximum Abduction
Minimum Abduction
00-0905-005-00
16in. (41cm)
8in. (20cm)
Zimmer Spreader Block
Used with any skin traction strip or bandage for attachment of
traction.
• Helps reduce skin irritation.
• Open design facilitates traction strap attachment.
Prod. No.
Width
00-0923-002-00
2in. (5cm)
00-0923-003-00
3in. (8cm)
00-0923-004-00
4in. (10cm)
Zimmer Spreader Bars
Material: Epoxy Coated Cold Rolled Steel
Packaging: 1/Box
Sterile: No
Prod. No.
Length
00-0648-000-00
22in. (56cm)
00-0849-001-00
6in. (15cm)
00-0849-002-00
8in. (20cm)
00-0849-003-00
9in. (23cm)
00-0849-004-00
12in. (30cm)
59
Zimmer Serrated Clip
• Provides firm attachment.
• Plated steel to retard rust.
• Autoclavable.
Prod. No.
Length
Gripping Edge
Packaging
00-0057-001-00
2 9/16in. (6cm)
2 1/2in. (6cm)
6 per box
Zim-Clip
• Wide serrated gripping edge.
• Numerous uses.
• High-impact plastic, autoclavable.
Prod. No.
Length
Gripping Edge
Packaging
00-0057-002-00
3 1/8in. (8cm)
2in. (5cm)
6 per box
Mini-Clip
• Useful for applying draping, and holding cautery wire.
• High-impact plastic, autoclavable.
60
Prod. No.
Length
Gripping Edge
Packaging
00-0057-003-00
2 9/32in. (6cm)
1 1/8in. (2cm)
12 per box
Zimcode Traction Cord
• Strong, durable polyester braided fibers.
• Packaged in convenient dispenser carton.
Prod. No.
Diameter
Length
00-0967-001-00
3/ in.
16
(5mm)
100ft. (30m)
00-0967-002-00
3/ in.
16
(5mm)
100yds. (91m)
00-0967-003-00
3/ in.
16
(5mm)
250yds. (229m)
Nylon Traction Cord
• Smooth running, flexible braided nylon.
Prod. No.
Diameter
Length
00-0184-001-00
.150in. (4mm)
100ft. (30m)
Cast Iron Traction Weights
• Coated cast iron.
• Attaches securely to weight carrier.
• Available in three sizes.
Prod. No.
Weight
00-0183-001-00
1lbs. (.5kg)
00-0183-002-00
2lbs. (1.0kg)
00-0183-003-00
5lbs. (2.3kg)
61
Weight Carriers for Cast Iron Weights
Prod. No.
Length
00-0176-002-00
5 3/4in. (15cm)
00-0176-003-00
8 3/4in. (22cm)
00-0176-004-00
11in. (30cm)
Sand Weight Bags
00-1600-051-00
00-1600-051-00
62
• Sand enclosed in heat-sealed polyethylene bags with
nylon reinforced vinyl outer cover.
• Antibacterial additives in vinyl.
• Cleans with soap and water.
Prod. No.
Bag Weight
Bag Hooks Single
Bag Hooks Multiple
00-1602-001-00
1lb. (.5kg)
00-1600-050-00
00-1600-051-00
00-1602-002-00
2lbs. (1.0kg)
00-1600-050-00
00-1600-051-00
00-1602-005-00
5lbs. (2.3kg)
00-1600-050-00
00-1600-051-00
00-1602-010-00
10lbs. (4.5kg)
00-1600-050-00
00-1600-051-00
Zimcode Traction Weight Bags
• Twenty gauge polyvinyl chloride with steel rivets.
• Can be filled with water or sand.
• Calibrated to indicate water weight (sand must be
weighed before filling).
• Single bag hook included with each bag.
Prod. No.
Weight
Bag Hook Supplied*
00-1601-002-00
10lbs. (4.5kg)
00-1600-050-00
* 00-1600-051-00 Multiple bag hook also available (see previous section).
Skin-Trac Skin Traction Strips
Utilized where skin traction is indicated to reduce a
fracture or dislocation.
Contraindications:
Abrasion, lacerations, superficial infections of immediate skin
areas or compromised circulation.
• Non-woven material laminated to foam, with hypoallergenic
adhesive backing.
• No skin prep necessary.
Individual
Strips
Dispenser
Carton
Qty
Size.
Dimensions
00-3874-001-00
00-3874-011-00
24
S
2in. x 24in.
(5cm x 61cm)
00-3874-002-00
00-3874-012-00
24
M
2 1/2in. x 30in.
(6cm x 76cm)
00-3874-003-00
00-3874-013-00
24
L
3in. x 40in.
(8cm x 102cm)
00-3874-004-00
00-3874-014-00
18
L, X-long
3in. x 56in.
(8cm x 142cm
00-3874-005-00
00-3874-015-00
12
L, X-long,
X-wide
4in. x 60in.
(10cm x 152cm)
63
Flex-Foam Traction Strips
Contraindications:
Abrasions, lacerations, superficial infections of immediate skin
areas or compromised circulation.
• Latex foam with rayon backing (Non-adhesive).
• Perforations facilitate air circulation to skin.
• Autoclavable.
64
Prod. No.
Dimensions
Qty.
Single Strips
00-3860-001-00
2in. x 42in. (5cm x 107cm)
12 per carton
00-3860-002-00
3in. x 42in. (8cm x 107cm)
12 per carton
00-3860-003-00
4in. x 42in. (10cm x 107cm)
12 per carton
25-yard Rolls
00-3861-001-00
1
00-3861-002-00
1
00-3861-003-00
4in. x 25yds. (10cm x 23m)
1
Helps alleviate numbness and tingling sensation in fingers and
arm for patients in side arm traction. Reduces risk of circulatory
embarrassment.
• Plated steel frame.
• Soft, plastisol hand grip for finger exercising.
Prod. No.
Width
Length
Frame Diameter
00-0920-000-00
3 7/8in. (10cm)
7 3/4in. (20cm)
3/ in.
16
(5mm)
Zimcode Footrest
Helps prevent peroneal paralysis (foot drop) and prevents
patient from sliding toward end of bed.
• Convoluted Zimfoam pad minimizes pressure on heel.
• Replacement Zimfoam pads available.
Prod. No.
Component
Dimensions
00-1047-000-00
Frame Padding
10in. x 24in. (25cm x 61cm)
00-1047-001-00
Replaceable Pad
15in. x 24in. (38cm x 61cm)
65
Zimcode Footrest Set with Bed Attachment
Prod. No.
Component
00-1097-005-00
Complete Set
00-1047-000-00
Zimcode Footrest
00-0619-003-00
Panel Clamp
00-0640-005-00
Single Clamp Bar 18in. (46cm)
00-0640-006-00
Single Clamp Bar 27in. (69cm)
00-1042-002-00
Plain Bar 36in. (91cm)
00-1047-001-00
Replacement Pad 15in. (38cm) x 24in. (61cm)
NOTE: The 00-0640-006-00 Single Clamp Bar 27in. (69cm)
attaches to the 00-0619-003-00 Panel Clamp to
provide height adjustment. The 00-0640-005-00 Single
Clamp Bar 18in. (46cm) provides up to 18in. (46cm) of
adjustment.
Utilized as a tractive force connector when applying a Steinmann
Pin 3/16in. (5mm) in diameter for skeletal traction.
• Thumb screws secure pin to holder.
• All components stainless steel, pin not included.
66
Prod. No.
Inside Length
Inside Width
00-0114-004-00
3 1/2in. (9cm)
3in. (8cm)
00-0114-005-00
6 1/2in. (16cm)
4 1/4in. (11cm)
00-0114-006-00
8 1/2in. (21cm)
4 1/4in. (11cm)
00-0114-054-00
Replacement Screw
Kirschner Wire Tractor
Affixed to Kirschner Wire in skeletal traction to exert
longitudinal pull on extremity in conjunction with traction
weights. K-wire is secured in the clamps and tensions applied
by spreading the tractor.
• Assures firm purchase on K-wire.
• No other instrumentation required to affix tractor to wire.
• All stainless steel, wire not included.
Prod. No.
Height
Opening Width
00-0121-001-00
5 1/2in. (14cm)
4in. (10cm)
00-0121-002-00
7 5/8in. (19cm)
6 5/8in. (17cm)
00-0121-003-00
9 5/8in. (24cm)
6 5/8in. (17cm)
Traction Finger Apparatus
For reduction of forearm or Colles’ fractures while applying
splint or cast.
• Easily applied.
• Grips finger securely and comfortably.
• Stainless steel mesh.
Prod. No.
Size
00-0325-000-00 (Complete Set)
Adult (1 Lg, 3 Med, 1 Sm)
00-0325-010-00 (Complete Set)
Pediatric (5)
00-0325-001-00
(Individual Finger Grips)
Small
00-0325-002-00
Medium
00-0325-003-00
Large
00-0325-004-00
Pediatric
67
Patient Helpers
965 Patient Helper
•
•
•
•
•
•
Offset design for optimum placement in hospital rooms.
Reinforced octagonal tubing for dependable support.
Heavy duty trapeze for patient safety.
Adjustable height.
Attaches to trapeze bracket available from Hill-Rom.
200lbs. weight limit.
FOR HILL-ROM* BEDS WITH REMOVABLE HEADBOARDS
Prod. No.
Description
00-0965-000-00
Patient Helper (Complete System)
00-0965-001-00
Patient Helper Reinforced Overhead Bar
00-0965-002-01
Bed Frame Adapter (Sleeve)
00-0640-067-00
Trapeze
* Hill-Rom is a registered trademark of Hill-Rom, Inc.
VERSA CARE PATIENT HELPER
Prod. No.
Description
00-2700-965-02
Patient Helper Complete Set
00-2700-965-03
Patient Helper Adaptor Only
00-0965-001-00
00-0640-067-00
Trapeze
965-02 Patient Helper
FREESTANDING PATIENT HELPER FOR HILL-ROM TOTALCARE BED
68
Prod. No.
Description
00-2700-965-00
Complete System
00-2700-965-01
Patient Helper Stand (Stand Only)
00-0965-001-00
00-0640-067-00
Trapeze
Zimmer Mobile Traction Unit-Extra Long
Products shown not included.
• Lengthened version of 1036 Compact Zimmer Mobile
Traction Unit.
• Two pegboards (both sides of cart), five storage shelves
and trays below each pegboard conveniently bring two
complete traction frames and assorted accessories to
patient’s bedside.
• Two fixed and two swivel casters provide easy maneuverability
through hospital corridors and doorways.
• Pegboard areas allow orderly arrangement of components.
• Molded rubber corner bumpers reduce marring of hospital
walls and door frames.
• One Traction Cart Hook Kit (00-1015-002-00) included with
each cart. Provides variety of types and lengths of hooks
for holding various traction equipment.
Prod. No.
Dimensions
Shipping Weight
00-1036-017-00
65in. x 29in. x 48in.
(165cm x 74cm x 122cm)
180lbs. (82kg)
Zimmer Mobile Traction Unit-Compact
• Holds either one complete frame plus assorted accessories,
or two complete frames.
• Compact size facilitates maneuverability into small hospital
rooms and elevators.
• Pegboard area for storage of traction frame parts or
accessories.
• Five storage shelves.
• Two swivel and two fixed casters.
• Molded rubber corner bumpers.
• One Traction Cart Hook Kit included (00-1015-002-00).
Prod. No.
Dimensions
Shipping Weight
00-1036-000-00
48in. x 29in. x 48in.
(122cm x 74cm x 122cm)
157lbs. (71kg)
Products shown not included.
69
Traction Cart Hook Kit
Fifty-six hooks in five different styles are attached to pegboard in
traction storage room or traction cart for orderly arrangement of
traction equipment. Seventy-six plastic protective tips included.
• Provides convenient and orderly traction storage.
• 1/4in. (6mm) steel hooks with white plastic protective tips
anchor firmly to pegboard.
Prod. No.
Components
00-1015-002-00
Protective Tips
Qty.
76
Hook-Single Prong
9/ in.
16
Wide Hook-Single Prong
1 5/8in. (4cm)
6
Inclined Tip Hook-Single Prong
2 1/2in. (6cm)
6
Straight Hook-Single Prong
4in. (10cm)
4
6in. (15cm)
3
8in. (20cm)
11
Straight Hook-Double Prong*
8 1/2in. (22cm)
17
Straight Hook-Double Prong
5 1/2in. (14cm)
3
* Double prong hook width: 1in. (3cm).
70
Length
(14mm)
6
Zimmer Orthopaedic Wraps
• Knit construction for durability and conformability.
• Cotton content absorbs moisture and is smooth
and non-irritating.
• Choice of premium and standard style.
• Premium style also available sterile.
ZIMMER PREMIUM ORTHOPAEDIC WRAP
Prod. No. (Latex / Non-Latex)
Width/Length
Packaging
00-5555-002-00 / -102-00
2in. x 5 1/2 yds. (5cm x 5m)
Box 10 rolls
00-5555-003-00 / -103-00
3in. x 5 1/2 yds. (8cm x 5m)
Box 10 rolls
00-5555-004-00 / -104-00
4in. x 5 1/2 yds. (10cm x 5m)
Box 10 rolls
00-5555-006-00 / -106-00
6in. x 5 1/2 yds. (15cm x 5m)
Box 10 rolls
00-5555-026-00 / -126-00
6in. x 11yds. (15cm x 10m)
Box 10 rolls
ZIMMER STERILE PREMIUM ORTHOPAEDIC WRAP
Width/Length
Packaging
00-5555-032-00 / -232-00
2in. x 5 1/2 yds. (5cm x 5m)
Box 10 rolls
00-5555-033-00 / -233-00
3in. x 5 1/2 yds. (8cm x 5m)
Box 10 rolls
00-5555-034-00 / -234-00
4in. x 5 1/2 yds. (10cm x 5m)
Box 10 rolls
00-5555-036-00 / -236-00
6in. x 5 1/2 yds. (15cm x 5m)
Box 10 rolls
00-5555-044-00 / -244-00
4in. x 11yds. (10cm x 10m)
Box 10 rolls
00-5555-046-00 / -246-00
6in. x 11yds. (15cm x 10m)
Box 10 rolls
ZIMMER STANDARD ORTHOPAEDIC WRAP
Width/Length
Packaging
00-4444-002-00 / -102-00
2in. x 5yds. (5cm x 4.6m)
Box 10 rolls
00-4444-003-00 / -103-00
Box 10 rolls
00-4444-004-00 / -104-00
4in. x 5yds. (10cm x 4.6m)
Box 10 rolls
00-4444-006-00 / -106-00
6in. x 5yds. (15cm x 4.6m)
Box 10 rolls
00-4444-012-00 / -112-00
Box 100 rolls
00-4444-013-00 / -113-00
3in. x 5yds. (10cm x 4.6m)
Box 100 rolls
00-4444-014-00 / -114-00
4in. x 5yds. (10cm x 4.6m)
Box 100 rolls
00-4444-016-00 / -116-00
6in. x 5yds. (15cm x 4.6m)
Box 50 rolls
00-4444-024-00 / -124-00
Box 10 rolls
00-4444-026-00 / -126-00
Box 10 rolls
71
No. 7 Head Halter
•
•
•
•
•
Designed for intermittent overhead traction.
No spreader bar needed.
Ideal for clinic or home use.
Universal size.
Fully adjustable.
Prod. No.
00-2700-007-00
Zimmer Pro Head Halter
•
•
•
•
Specifically designed for bed traction.
Directs pull to occipital region.
No spreader bar needed.
Universal size.
Prod. No.
00-2700-003-00
Deluxe Diskard Head Halter
•
•
•
•
Universal size.
Spreader bar required.
Foam padded for comfort.
Sold in boxes of 12.
Prod. No.
Packaging
00-0912-000-00
12 per box
Deluxe Padded Head Halter
• Foam padded for patient comfort.
• Contact closure for easy application.
• Spreader bar included.
72
Prod. No.
Size
00-1778-001-00
Small
00-1778-002-00
Medium
00-1778-003-00
Large
Universal Traction Boot
• Universal size for inventory convenience.
• Medial and lateral stays may be positioned anywhere
on boot.
• Excess material may be trimmed for proper fit.
Prod. No.
Length
Max Calf Circumference
00-1774-001-00
20in. (51cm)
20in. (51cm)
Deluxe Zim-Trac Convoluted Traction Boot
• Convolutions reduce ankle pressure and increase
air circulation.
• Supports foot to help prevent foot drop.
• Spreader block included.
Prod. No.
Size
Length
00-2753-010-00
XS
13in. (33cm)
6 5/8in. x 11 3/4in. (17cm x 30cm)
00-2753-011-00
S
20in. (51cm)
8 3/8in. x 13 3/4in. (22cm x 35cm)
00-2753-012-00
M
20in. (51cm)
9 5/8in. x 15 3/4in. (24cm x 40cm)
00-2753-013-00
L
20in. (51cm)
10 7/8in. x 17 3/4in. (28cm x 45cm)
00-2753-014-00
XL
20in. (51cm)
12 1/8in. x 19 3/4in. (31cm x 50cm)
Economy Leg Traction Boot
• Polyurethane convoluted foam with medial/lateral stays.
• Does not include footplate or spreader block.
Prod. No.
Size
Length
00-8712-012-00
S
20in. (51cm)
8 3/8in. x 13 3/4in. (22cm x 35cm)
00-8712-013-00
M
20in. (51cm)
9 5/8in. x 15 3/4in. (24cm x 40cm)
00-8712-014-00
L
20in. (51cm)
10 7/8in. x 17 3/4in. (28cm x 45cm)
00-8712-015-00
XL
20in. (51cm)
12 1/8in. x 19 3/4in. (31cm x 50cm)
73
Zimcode Pelvic Traction Belts
•
•
•
•
Contact closure strap.
Wide range of sizes.
Belt width 8 1/2in. (22cm).
Double strap.
Prod. No.
Size
00-0743-001-00
26in. x 30in. (66cm x 76cm)
00-0743-002-00
30in. x 34in. (76cm x 86cm)
00-0743-003-00
34in. x 38in. (86cm x 97cm)
00-0743-004-00
38in. x 42in. (97cm x 107cm)
00-0743-005-00
42in. x 46in. (107cm x 117cm)
00-0743-006-00
46in. x 50in. (117cm x 127cm)
00-0743-007-00
50in. x 54in. (127cm x 137cm)
00-0743-008-00
54in. x 58in. (137cm x 147cm)
00-0743-009-00
58in. x 62in. (147cm x 157cm)
Zimmer Comfort Panel Pelvic Belt
• Special elastic panels distribute support evenly for
patient comfort.
• Soft inner lining reduces skin irritation.
• Belt width 9in. (23cm).
Prod. No.
Size
00-0584-021-00
26in. x 45in. (66cm x 114cm)
00-0584-022-00
30in. x 52in. (76cm x 132cm)
00-0584-023-00
36in. x 62in. (91cm x 157cm)
Universal Single Strap Pelvic Traction Belt
•
•
•
•
74
Universal size for inventory convenience.
Accommodates wide range of hip sizes.
Contact closure.
Belt width 8in. (20cm).
Prod. No.
Size
00-1678-001-00
26in. x 48in. (66cm x 122cm)
Universal Double Strap Pelvic Belt
• Straps with contact closure attachments can be positioned
anywhere on belt to achieve most effective line of pull.
• Universal size for inventory convenience.
• Belt width 8in. (20cm).
Prod. No.
Size
00-1570-001-00
26in. x 48in. (66cm x 122cm)
00-1570-002-00
448in. x 60in. (122cm x 152cm)
Deluxe Foam Padded Traction Belt
• Posterior strap directs maximum traction to pelvic region.
• Contact closures for easy application and adjustment.
• Belt width 8 1/2in. (22cm).
Prod. No.
Size
00-0738-001-00
26in. x 34in. (66cm x 86cm)
00-0738-002-00
34in. x 42in. (86cm x 107cm)
00-0738-003-00
42in. x 50in. (107cm x 127cm)
00-0738-006-00
50in. x 58in. (127cm x 147cm)
75
Zimcode Traction Components
COLOR CODED FOR YOUR
CONVENIENCE
Because so many individual traction components resemble each
other and can be easily confused, Zimmer developed a system of
coding traction equipment. Zimcode Traction Frame color strips
are found on all easily confused traction components.
76
Color coding is extremely helpful in assembling traction
equipment. Zimcode Traction Frame color strips are also
a valuable aid for inventory control and in ordering
or replacing equipment.
Component
Prod. No.
Zimcode
Length
Double Clamp Bar
00-1038-002-00
27
27in. (69cm)
Double Clamp Bar
00-1238-003-00
31
31in. (79cm)
Double Clamp Bar
00-1066-003-00
35
35in. (89cm)
Component
Prod. No.
Zimcode
Length
Offset Double Clamp Bar
00-1038-004-00
27
27in. (69cm)
00-1238-004-00
31
31in. (79cm)
00-1066-005-00
35
35in. (89cm)
Component
Prod. No.
Zimcode
Length
Curved Double Clamp Bar
00-0640-021-00
24C
24in. (61cm)
Component
Prod. No.
Zimcode
Length
Cross Clamp
00-1042-004-00
C.C.
Component
Prod. No.
Zimcode
Length
Diameter
I.V. Post with Clamp
00-1234-001-00
3 3/4
3in. (8cm)
3/ in.
4
(19mm)
00-1038-003-00
4 1/2
4in. (10cm)
1/ in.
2
(13mm)
00-1242-001-00
5 1/2
5in. (13cm)
1/ in.
2
(13mm)
00-1044-005-00
9 3/4
9in. (23cm)
3/ in.
4
(19mm)
00-1238-002-00
10 1/2
10in. (25cm)
1/ in.
2
(13mm)
00-1247-003-00
12 1/2
12in. (30cm)
1/ in.
2
(13mm)
00-1236-001-00
13 1/2
13in. (33cm)
1/ in.
2
(13mm)
00-1044-006-00
13 3/4
13in. (33cm)
3/ in.
4
(19mm)
00-1241-001-00
16 1/2
16in. (41cm)
1/ in.
2
(13mm)
00-1044-007-00
18 3/4
18in. (46cm)
3/ in.
4
(19mm)
00-1238-001-00
19 1/2
19in. (48cm)
1/ in.
2
(13mm)
00-1247-001-00
20 1/2
20in. (51cm)
1/ in.
2
(13mm)
00-1238-022-00
22 3/4
22in. (55cm)
3/ in.
4
(19mm)
00-1241-008-00
24 1/2
24in. (61cm)
1/ in.
2
(13mm)
00-1234-009-00
24 5/8
24in. (61cm)
5/ in.
8
(16mm)
00-1241-021-00
28 1/2
28in. (71cm)
1/ in.
2
(13mm)
Component
Prod. No.
Zimcode
Length
Overhead Traction
00-1042-090-00
ST-S
Bar-Short
63 1/2in. x 88in. (161cm x 224cm)
Overhead Traction
00-1042-007-00
ST-L
Bar-Long
74 1/2in. x 101in. (189cm x 257cm)
Component
Prod. No.
Zimcode
Extended Telescoping
00-1042-015-00
AB-S
Length
Overhead Bar-Short
63 1/2in. x 88in. (161cm x 224cm)
Telescoping Overhead
00-1042-006-00
AB-L
Bar-Long
74 1/2in. x 101in. (189cm x 257cm)
77
78
Component
Prod. No.
Zimcode
Length
Plain Bar
00-1042-002-00
36
36in. (91cm)
Plain Bar
00-2700-040-00
40
40in. (100cm)
Plain Bar
00-1241-044-00
44
44in. (112cm)
Plain Bar
00-0640-023-00
85
85in. (216cm)
Plain Bar (Heavy Duty)
00-0640-023-01
85HD
85in. (216cm)
Plain Bar
00-0640-001-00
96
96in. (244cm)
Plain Bar (Heavy Duty)
00-0640-029-00
96HD
96in. (244cm)
Component
Prod. No.
Zimcode
Length
Double Pulley Bar
00-0619-002-00
18DP
18in. (46cm)
Component
Prod. No.
Zimcode
Length
Single Clamp Bar
00-1083-003-00
5
5in. (13cm)
Single Clamp Bar
00-0640-004-00
9
9in. (23cm)
Single Clamp Bar
00-0640-005-00
18
18in. (46cm)
Single Clamp Bar
00-0640-006-00
27
27in. (69cm)
Single Clamp Bar
00-0640-007-00
36
36in. (91cm)
Component
Prod. No.
Zimcode
Length
Swivel Clamp Bar
with Pulley
00-0619-001-00
9P
9in. (23cm)
Component
Prod. No.
Zimcode
Length
Swivel Clamp Bar
00-1042-003-00
48
48in. (122cm)
Swivel Clamp Bar
00-0640-002-00
66
66in. (168cm)
Component
Prod. No.
Zimcode
Length
Center Clamp Bar
00-0640-011-00
36C
36in. (91cm)
Component
Prod. No.
Zimcode
Length
Offset Swivel Clamp Bar
00-0640-024
66-O
66in. (168cm)
Component
Prod. No.
Zimcode
Length
Diameter
Angled I.V. Post
with Clamp
00-1238-011-00
19A- 1/2
19in. (48cm)
1/ in.
2
(13mm)
Angled I.V. Post
with Clamp
00-1238-023-00
23A-3/4
23in. (57cm)
3/ in.
4
(19mm)
Angled I.V. Post
with Clamp
00-1241-045-00
13A-3/4
13in. (33cm)
3/ in.
4
(19mm)
Angled I.V. Post
with Clamp
00-1241-048-00
18A-3/4
18in. (46cm)
3/ in.
4
(19mm)
Component
Prod. No.
Zimcode
Panel Clamp-Upper
00-0640-013-00
U.C.
Component
Prod. No.
Zimcode
Panel Clamp-Lower
00-0640-014-00
L.C.
Component
Prod. No.
61in. (155cm)
Vertical Bars
00-2700-021-00
Component
Prod. No.
TotalCare
I.V. Post Brackets
(head of bed)
00-2700-022-00 (1 each)
Component
Prod. No.
TotalCare
I.V. Post Brackets
(foot of bed)
00-2700-023-00 (1 each)
Component
Prod. No.
VersaCare
I.V. Post Bracket
(foot of bed)
00-2700-027-00 (Set)
Component
Prod. No.
CareAssist
I.V. Post Bracket
(head of bed)
00-2700-024-00
Component
Prod. No.
CareAssist
I.V. Post Bracket
(foot of bed)
00-2700-025-00 (Set)
79
80
Component
Prod. No.
Zimcode
00-0619-003-00
B.C.
Component
Prod. No.
Zimcode
Wall Bumper Horns
00-0640-012-00
N/A
Component
Prod. No.
Zimcode
Wall Bumper Roller
00-0640-018-00
N/A
Component
Prod. No.
Zimcode
I.V. Bar
00-0640-019-00
N/A
Component
Prod. No.
Zimcode
Traction Bar End Guard
Box 12
00-1294-001-00
N/A
Component
Prod. No.
Zimcode
Trapeze (Heavy Duty)
00-0640-003-00
N/A
Component
Prod. No.
Zimcode
Trapeze
00-0640-067-00
N/A
Component
Prod. No.
Zimcode
Pulley
00-0640-008-00
N/A
Pulley (Heavy Duty)
00-1469-008-00
N/A
Note: On the Heavy Duty Pulley, the eyelet on the pulley attachment is welded closed.
Component
Prod. No.
Zimcode
Plastisol Plug
00-0640-038-00
N/A
All Traction Repairs Require an RGA
Number to call for RGA: 800-830-0970
Send Traction Repairs To:
Zimmer Orthopaedic Surgical Products
1872 Old Mountain Road
Statesville, NC 28677
Attn: Traction Repairs
81
Traction Frames For Specific
Bed Models
The following is a listing of Zimcode Traction Frames for hospital
bed models. These are the most popular beds used today,
but do not necessarily represent all bed manufacturers. For
a complete listing of all hospital beds and their respective
Zimcode Frames, call Zimmer Customer Service at
800-348-2759. Also see page 21 in this Handbook for
instructions on frame measurements for beds not listed below
on the bed frame specifier. The components for these frames
must be ordered individually. The components are shown on
pages 76-81.
STRAIGHT FRAME
BED MANUFACTURER
MODELS
Manufactured since July ‘93
Hill-Rom
Advance** Models 115, 1125, 1135, 1145
(four motor beds)
Hill-Rom
Advance** Models 115, 1125, 1135, 1145
(four motor beds)
Hill-Rom
P1120
Advance* 2000, 1000
Hill-Rom
P1120
Advance* 2000, 1000
Hill-Rom
892, 894
Century CC
Hill-Rom
Centra** 1050, 1052, 1060, 1062
(four motor beds)
Hill-Rom
Centra** 1050, 1052, 1060, 1062
(four motor beds)
Hill-Rom
855, 852, 859
840E, 841E, 842L
Centra
Hill-Rom
855, 852, 859
840E, 841E, 842L
Centra
Hill-Rom
Hill-Rom
Hill-Rom
840, 841, 842
840, 841, 842
835, 837
Century Series
Manufactured after
July 1988
Hill-Rom
Century Series
82
150, 420, 425, 426,
427, 428, 430, 440,
450, 550, 715, 720,
815, 820, 835, 837
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
top
horz
plain
bar
dbl
clamp
bar
swivel
clamp
bar
horz
plain
bar
I.V.
post
with
clamp
head foot
cross
clamp
curved
dbl
clamp
bar
trapeze
ABL
1
31
1
48
1
36
2
133/4 133/4
2 2
CC
2
CDC
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
STL
1
31
1
48
1
36
2
133/4
133/4
2 2
CC
2
CDC
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
ABL
31
48
36
133/4 183/4
CC
CDC
-
1
–
1
31”
1
48”
2
36”
2 2
133/4 183/4
1
–
1
-
1
-
STL
31
48
36
133/4 183/4
CC
CDC
-
1
–
1
31”
1
48”
2
36”
2 2
133/4 183/4
1
–
1
-
1
-
96
1
96”
31
1
31”
48
1
48”
36
2
36”
183/4 183/4
2 2
183/4 183/4
CC
1
–
CDC
1
-
1
-
ABL
1
31
1
48
1
36
2
133/4 133/4
2 2
CC
1
CDC
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
STL
31
48
36
133/4 133/4
CC
CDC
-
1
1
1
2
2 2
1
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
ABL
31
48
36
133/4 133/4
CC
CDC
-
1
1
1
2
2 2
1
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
STL
31
48
36
133/4 133/4
CC
CDC
-
1
1
1
2
2 2
1
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
ABL
31
48
36
183/4 133/4
CC
CDC
-
1
1
1
2
2 2
1
1
1
–
31”
48”
36”
183/4 133/4
–
-
-
STL
31
48
36
183/4 133/4
CC
CDC
-
1
1
1
2
2 2
1
1
1
–
31”
48”
36”
183/4 133/4
–
-
-
96
31
48
36
133/4 133/4
CC
CDC
-
1
1
1
2
2 2
1
1
1
96”
31”
48”
36”
133/4 133/4
–
-
-
96
31
48
36
133/4 133/4
CC
CDC
-
1
1
1
2
2 2
1
1
1
96”
31”
48”
36”
133/4 133/4
–
-
-
STRAIGHT FRAME
BED MANUFACTURER
MODELS
Hill-Hill-Rom
Hill-Rom
Hill-Rom
70
60, 65, 68, 65-1, 55, 32-90, 32-91,
32-89, 33-89, 33-90, 33-91, 34-89,
34-90, 34-91, 35-89, 35-90, 35-91,
36-89, 36-90, 36-91, 72-89, 72-90,
72-91, 96-89, 96-90, 96-91, 86
Hill-Rom
Hill-Rom***
Hill-Rom
Hill-Rom
Stryker MPS**
Stryker
Stryker
41-77, 41-78
TotalCare
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
Advanta
VersaCare
CareAssist
Modular Patient
System
Secure II
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
MA204
top
horz
plain
bar
dbl
clamp
bar
swivel
clamp
bar
horz
plain
bar
I.V.
post
with
clamp
head foot
cross clamp
ABL
1
–
31
1
31”
48
1
48”
36
2
36”
93/4 73/4
2 2
93/4 73/4
ABL
31
48
36
1
–
1
31”
1
48”
2
36”
96
31
48
1
1
1
96”
31”
85R
1
curved
dbl
clamp
bar
trapeze
CC
1
–
CDC
–
73/4 73/4
2 2
73/4 73/4
36
2
48”
–
–
85”R
1
1
–
–
CC
CDC
–
1
–
1
1
–
–
73/4 73/4
CC
CDC
–
2 2
1
1
1
36”
73/4 73/4
–
–
–
61
40
Bracket
CC
CDC
–
4
3
–
4
2
1
–
61”
40”
–
–
–
–
ABL
31
48
36
183/4
233/4
CC
CDC
–
1
–
1
31”
1
48”
2
36”
2
2
183/4 233/4
1
–
1
–
1
–
96
31
61
40
223/4 Bracket
CC
CDC
–
1
96”
2
31”
2
61”
3
40”
4
–
2
–
1
–
85R
1
85”R
–
–
–
61
4
61”
40
3
40”
Bracket
–
–
CC
4
–
CDC
2
–
–
1
–
STL
1
–
31
1
31”
48
1
48”
36
2
36”
183/4 133/4
2 2
183/4 133/4
CC
1
–
ABL
31
48
36
183/4 183/4
CC
CDC
–
1
–
1
31”
1
48”
2
36”
2
2
183/4” 183/4”
1
–
1
–
1
–
ABL
31
48
36
223/4 223/4
CC
CDC
–
1
–
1
31”
1
48”
2
36”
2
2
223/4” 223/4”
1
–
1
–
1
–
2
223/4
* These beds use an 18 x 3/4 Angled I.V. Post, Prod. No. 00-1241-048-00, at the foot end. ** These beds use a 13 x 3/4 Angled I.V. Post, Prod. No. 00-1241-045-00, at the foot end.
*** These beds use a 23 3/4 Angled I.V. Post,
Prod. No. 00-1238-023-00 at the foot end. Note: All beds need a trapeze and a Curved Double Clamp Bar, Prod. No. 00-0640-021-00.
KEY TO ABBREVIATIONS Abbr.
ABL
ABS
Product Description
Adjustable Bar—Long(Telescoping)
Adjustable Bar—Short (Telescoping)
Length Min.-Max.
741/2”-101”
631/2”-88”
Abbr.
STL
STL
Product Description
Smooth-Trac Overhead Bar—Long
Length Min.-Max.
741/2”-101”
741/2”-101”
83
OFFSET FRAME
BED MANUFACTURER
MODELS
Hill-Rom
Advance** Models 115, 1125, 1135, 1145
(four motor beds)
Hill-Rom
Advance** Models 115, 1125, 1135, 1145
(four motor beds)
Hill-Rom
P1120
Advance* 2000, 1000
Hill-Rom
P1120
Advance* 2000, 1000
Hill-Rom
892, 894
Century CC
Hill-Rom
Centra** 1050, 1052, 1060, 1062
(four motor beds)
Hill-Rom
Centra** 1050, 1052, 1060, 1062
(four motor beds)
Hill-Rom
855, 852, 859
840E, 841E, 842L
Centra
Hill-Rom
855, 852, 859
840E, 841E, 842L
Centra
Hill-Rom
840, 841, 842
Hill-Rom
840, 841, 842
Hill-Rom
835, 837
Century Series
Manufactured after
July 1988
Hill-Rom
Century Series
150, 420, 425, 426,
427, 428, 430, 440,
450, 550, 715, 720,
815, 820, 835, 837
Hill-Hill-Rom
41-77, 41-78
Hill-Rom
70
60, 65, 68, 65-1, 55, 32-90, 32-91,
Hill-Rom 32-89, 33-89, 33-90, 33-91, 34-89,
34-90, 34-91, 35-89, 35-90, 35-91,
36-89, 36-90, 36-91, 72-89, 72-90,
72-91, 96-89, 96-90, 96-91, 86
84
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
top
horz
plain
bar
dbl
clamp
bar
swivel
clamp
bar
horz
plain
bar
I.V.
post
with
clamp
head foot
cross
clamp
curved
dbl
clamp
bar
ABS
31-0
48
36
133/4 133/4
CC
CDC
-
1
–
1
31”
1
48”
2
36”
2 2
133/4 133/4
1
–
1
-
1
-
STS
1
31-0
1
48
1
36
2
133/4 133/4
2 2
CC
1
CDC
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
ABS
31-0
48
36
133/4 183/4
CC
CDC
-
1
1
1
2
2 2
1
1
1
–
31”
48”
36”
133/4 183/4
–
-
-
STS
1
31-0
1
48
1
36
2
133/4 183/4
2 2
CC
1
CDC
1
1
–
31”
48”
36”
133/4 183/4
–
-
-
85
1
31-0
1
48
1
36
2
183/4 183/4
2 2
CC
1
CDC
1
1
85”
31”
48”
36”
183/4 183/4
–
-
-
STS
1
–
31-0
1
31”
48
1
48”
36
2
36”
133/4 133/4
2 2
133/4 133/4
CC
1
–
CDC
1
-
1
-
ABS
1
–
31-0
1
31”
48
1
48”
36
2
36”
133/4 133/4
2 2
133/4 133/4
CC
1
–
CDC
1
-
1
-
ABS
1
31-0
1
48
1
36
2
133/4 133/4
2 2
CC
1
CDC
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
STS
1
31-0
1
48
1
36
2
133/4 133/4
2 2
CC
1
CDC
1
1
–
31”
48”
36”
133/4 133/4
–
-
-
ABS
1
31-0
1
48
1
36
2
183/4 133/4
2 2
CC
1
CDC
1
1
–
31”
48”
36”
183/4 133/4
–
-
-
STS
31-0
48
36
183/4 133/4
CC
CDC
-
1
–
1
31”
1
48”
2
36”
2 2
183/4 133/4
1
–
1
-
1
-
85
1
85”
31-0
1
31”
48
1
48”
36
2
36”
133/4 133/4
2 2
133/4 133/4
CC
1
–
CDC
1
-
1
-
85
1
31-0
1
48
1
36
2
133/4 133/4
2 2
CC
1
CDC
1
1
85”
31”
48”
36”
133/4 133/4
–
-
-
ABS
1
31-0
1
48
1
36
2
93/4 73/4
2 2
CC
1
CDC
1
1
–
31”
48”
36”
93/4 73/4
–
-
-
ABS
1
–
31-0
1
31”
48
1
48”
36
2
36”
73/4 73/4
2 2
73/4 73/4
CC
1
–
CDC
1
-
1
-
85
1
85”
31-0
1
31”
48
1
48”
36
2
36”
73/4 73/4
2 2
73/4 73/4
CC
1
–
CDC
1
-
1
-
trapeze
OFFSET FRAME
BED MANUFACTURER
MODELS
Hill-Rom
Hill-Rom***
Hill-Rom
Hill-Rom
Stryker MPS**
Stryker MPS**
Stryker
Stryker
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
TotalCare
Advanta
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
VersaCare
CareAssist
Modular Patient
System
Modular Patient
System
Secure II
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
MA204
top
horz
plain
bar
dbl
clamp
bar
swivel
clamp
bar
horz
plain
bar
I.V. post
with clamp
head foot
cross
clamp
curved
double
clamp
trapeze
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
ABS
31
48
36
183/4 233/4
CC
CDC
–
1
–
1
31”
1
48”
2
36”
2 2
183/4” 233/4”
1
–
1
–
1
–
85
31
61
40
223/4 Bracket
CC
CDC
–
1
85”
2
31”
2
61”
3
40”
2
223/4
4
–
2
–
1
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
ABS
1
–
31-0
1
31”
48
1
48”
36
2
36”
183/4 133/4
2 2
183/4 133/4
CC
1
–
CDC
1
-
1
-
STS
1
–
31-0
1
31”
48
1
48”
36
2
36”
183/4 133/4
2 2
183/4 133/4
CC
1
–
CDC
1
-
1
-
ABS
31
48
36
183/4 183/4
CC
CDC
–
1
1
1
2
1
1
1
–
31”
48”
36”
183/4” 183/4”
–
–
–
ABS
31
48
36
223/4 223/4
CC
CDC
–
1
–
1
31”
1
48”
2
36”
2
2
223/4” 223/4”
1
–
1
–
1
–
2
2
*** These beds use a 23 3/4 Angled I.V. Post, Prod. No. 00-1238-023-00 at the foot end. Note: All beds need a trapeze and a Curved Double Clamp Bar, Prod. No. 00-0640-021-00.
ABL
ABS
Product Description
Length Min.-Max.
741/2”-101”
631/2”-88”
Abbr.
STL
STL
Product Description
Length Min.-Max.
741/2”-101”
741/2”-101”
85
OFFSET FOUR-POSTER
BED MANUFACTURER
MODELS
Hill-Rom
Advance** Models 115, 1125, 1135, 1145
(four motor beds)
Hill-Rom
Advance** Models 115, 1125, 1135, 1145
(four motor beds)
Hill-Rom
P1120
Advance* 2000, 1000
Hill-Rom
P1120
Advance* 2000, 1000
Hill-Rom
892, 894
Century CC
Hill-Rom
Centra** 1050, 1052, 1060, 1062
(four motor beds)
Hill-Rom
Centra** 1050, 1052, 1060, 1062
(four motor beds)
Hill-Rom
855, 852, 859
840E, 841E, 842L
Centra
Hill-Rom
855, 852, 859
840E, 841E, 842L
Centra
Hill-Rom
840, 841, 842
Hill-Rom
840, 841, 842
Hill-Rom
835, 837
Century Series
Manufactured after
July 1988
Hill-Rom
Century Series
150, 420, 425, 426,
427, 428, 430, 440,
450, 550, 715, 720,
815, 820, 835, 837
Hill-Rom
41-77, 41-78
Hill-Rom
70
Hill-Rom
86
60, 65, 68, 65-1, 55, 32-90, 32-91,
32-89, 33-89, 33-90, 33-91, 34-89,
34-90, 34-91, 35-89, 35-90, 35-91,
36-89, 36-90, 36-91, 72-89, 72-90,
72-91, 96-89, 96-90, 96-91, 86
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
top
horz
plain
bar
dbl
clamp
bar
swivel clamp
bar
horz
plain
bar
I.V.
post
with
clamp
head foot
cross
clamp
curved
double
clamp
ABS
31-0
48
36
133/4 133/4
CC
CDC
-
2
2
2
5
2 2
8
2
1
–
31”
48”
36”
133/4 133/4
–
-
-
STS
31-0
48
36
133/4 133/4
CC
CDC
-
2
2
2
5
2 2
8
2
1
–
31”
48”
36”
133/4 133/4
–
-
-
ABS
31-0
48
36
133/4 183/4
CC
CDC
-
2
2
2
5
2 2
8
2
1
–
31”
48”
36”
133/4 183/4
–
-
-
STS
31-0
48
36
133/4 183/4
CC
CDC
-
2
–
2
31”
2
48”
5
36”
2 2
133/4 183/4
8
–
2
-
1
-
85
31-0
48
36
183/4 183/4
CC
CDC
-
2
2
2
5
2 2
8
2
1
trapeze
85”
31”
48”
36”
183/4 183/4
–
-
-
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
STS
2
31-0
2
48
2
36
5
133/4 133/4
2 2
CC
8
CDC
2
1
–
31”
48”
36”
133/4 133/4
–
-
-
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
ABS
2
31-0
2
48
2
36
5
133/4 133/4
2 2
CC
8
CDC
2
1
–
31”
48”
36”
133/4 133/4
–
-
-
ABS
31-0
48
36
133/4 133/4
CC
CDC
-
2
–
2
31”
2
48”
5
36”
2 2
133/4 133/4
8
–
2
-
1
-
STS
31-0
48
36
133/4 133/4
CC
CDC
-
2
2
2
5
2 2
8
2
1
–
31”
48”
36”
133/4 133/4
–
-
-
ABS
31-0
48
36
183/4 133/4
CC
CDC
-
2
–
2
31”
2
48”
5
36”
2 2
183/4 133/4
8
–
2
-
1
-
STS
31-0
48
36
183/4 133/4
CC
CDC
-
2
2
2
5
2 2
8
2
1
–
31”
48”
36”
183/4 133/4
–
-
-
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
85
2
31-0
2
48
2
36
5
133/4
133/4
2 2
CC
8
CDC
2
1
85”
31”
48”
36”
133/4 133/4
–
-
-
85
2
31-0
2
48
2
36
5
133/4 133/4
2 2
CC
8
CDC
2
1
85”
31”
48”
36”
133/4 133/4
–
-
-
85
31-0
48
36
73/4 73/4
CC
CDC
-
2
2
2
5
2 2
8
2
1
85”
31”
48”
36”
73/4 73/4
–
-
-
OFFSET FOUR-POSTER
BED MANUFACTURER
MODELS
Hill-Rom
Hill-Rom***
Advanta
Hill-Rom
VersaCare
Hill-Rom
Stryker
MPS**
Stryker
MPS**
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
BASIC FRAME
COMPONENTS
QUANTITY
DIMENSIONS
TotalCare
CareAssist
Modular
Patient
System
Modular
Patient
System
Stryker
Secure II
Stryker
MA204
top
horz
plain bar
dbl clamp bar
swivel clamp
bar
horz plain bar
I.V. post with
clamp
head foot
cross clamp
curved
double
clamp
trapeze
85R
–
61
40
Bracket
CC
CDC
–
2
85”R
–
–
4
61”
3
40”
–
–
6
–
2
–
1
–
ABS
2
31
2
48
2
36
5
183/4 233/4
2
2
CC
8
CDC
2
–
1
–
31”
48”
36”
183/4 “ 233/4”
–
–
–
85
2
31
2
61
2
40
4
223/4 Bracket
2
CC
6
CDC
2
–
1
85”
31”
61”
40”
223/4
–
–
–
85
2
–
–
61
4
40
3
CC
6
CDC
2
–
1
85”
–
61”
40”
–
–
–
ABS
2
–
31-0
2
31”
48
2
48”
36
5
36”
183/4 133/4
2 2
183/4 133/4
CC
8
–
CDC
2
-
1
-
STS
2
–
31-0
2
31”
48
2
48”
36
5
36”
183/4 133/4
2 2
183/4 133/4
CC
8
–
CDC
2
-
1
-
ABS
2
31
2
48
2
36
5
183/4 183/4
2
2
CC
8
CDC
2
–
1
–
31”
48”
36”
183/4” 183/4”
–
–
–
ABS
31
48
36
223/4 223/4
CC
CDC
–
2
–
2
31”
2
48”
5
36”
2
2
223/4” 223/4”
8
–
2
–
1
–
Bracket
*** These beds use a 23 3/4 Angled I.V. Post, Prod. No. 00-1238-023-00 at the foot end. Note: All beds need a trapeze and a Curved Double Clamp Bar, Prod. No. 00-0640-021-00.
ABL
ABS
Product Description
Length Min.-Max.
741/2”-101”
631/2”-88”
Abbr.
STL
STL
Product Description
Length Min.-Max.
741/2”-101”
741/2”-101”
87
NOTES
88
NOTES
89
NOTES
90
BIBLIOGRAPHY
WARRANTY
1. Anderson, Merline G: Orthopaedic Traction and Nursing Care.
ONA Journal 2:304-307, December 1975.
2. Asher, R: The dangers of going to bed: Critical Care Update.
May 1983, pp 40-41, 51.
3. Brooker, Andrew F., Schmeisser, Gerhard: Orthopaedic Traction
Manual. Baltimore, Williams and Wilkins, 1955.
4. Carini G., Birmingham J.: Traction Made Manageable, A Self
Learning Module. New York, McGraw-Hill 1980.
5. Donahoo, Clara, Dimon, Joseph H.: Orthopaedic Nursing.
Boston, Little Brown and Co., 1977.
6. Farrell J.: Care of the patient in traction: Illustrated Guide to
Orthopaedic Nursing. Philadelphia, JB Lippincott Co., 1977,
pp 97-141.
7. Holder, CEA: The Pathology and Prevention of Volkmann’s
lschaemic Contracture. Journal of Bone and Joint Surgery 61:
296-300, August 1979.
8. Iverson, LD , Clawson, DK: Manual of Acute Orthopaedic
Therapeutics. Boston, Little Brown and Co., 1977.
9. Kerr, Avice H.: Orthopaedic Nursing Procedures, ed. 2.
New York, Springer-Verlag Publishing Co., 1969.
10. Larson, Carol B., Gould, Marjorie: Orthopaedic Nursing,
ed. 8. St. Louis, C.V. Mosby Inc., 1976.
11. McCann V.: The prevention of depression in the immobilized
patient: ONA Journal 1979, pp 433-438.
12. Morris L., Krafgt S.: Nursing the patient in traction: RN. January
1988, pp 26-31.
13. National Association of Orthopaedic Nurses: Core Curriculum
for Orthopaedic Nursing. Pitman, NJ, National Association of
Orthopaedic Nurses, 1986.
14. Osborne L., DiGiacomo I.: Traction: A review with nursing
diagnoses and interventions: Orthopaedic Nursing 1987,
pp 13-19.
15. Rubin M.: The physiology of bedrest. Am J Nurs, January 1988,
pp 50-57.
16. Schneider, Richard F.: Handbook for the Orthopaedic
Assistant, ed. 2. St. Louis, C.V. Mosby Inc., 1976.
17. Schoen D.: The Nucsing Process in Orthopaedic Nursing.
E. Norwalk, CT, Appleton, Century, Crofts, 1986.
18. The Dos and Don’ts of Traction Care. Nursing 74: 35-41.
November 1974.
19. Valbona C.: Bodily responese to imobilization: Krusen’s
Handbook of Physical Medicine and Rehabilitation.
Philadelphia, W.B. Saunders Co., 1982, pp 963-975.
All Zimmer traction frame components are unconditionally
guaranteed against defects in materials and workmanship.
This warranty does not cover normal wear and tear inherent
in day-to-day use, nor consequential or incidental damages
or damage caused by misuse, abuse, accident or neglect.
This warranty also does not cover damage to any traction
component resulting from repairs not performed by Zimmer.
91
97-2000-805-00 Rev. 1 10ML ©2005, 2006 Zimmer Orthopaedic Surgical Products, Inc.

Traction Handbook

Transcription

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